There's no place likeLiberty Healthcare ManagementCome explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!We are currently seeking an experienced:
PHARMACY BILLING SPECIALIST - LONG TERM CARE Full Time, DaysJob Summary:
- Answer all incoming calls as related to assigned pharmacy accounts
- Process claims for all discharged residents on a daily basis
- Be familiar with how insurance companies pay pharmacy claims
- Contact insurance companies related to denials, rejections and prior approvals on prescriptions/orders from SNF facilities.
- Work with physicians, Nurse Practitioners and insurance plans to obtain order changes to meet formularies in order to obtain payment for orders.
- Able to maintain high volume of split billing on a daily basis.
- Obtain prior approvals for all services that require prior authorization by payer.
- Maintain follow-up file for prior authorizations and complete follow-ups.
- Enter all billing information into computer system.
- Back up billing for pharmacy done daily.
- Med Dispense billing for pharmacy done weekly.
- Must be able to work with facilities on education piece and continuing education as to the process and procedure for split billing.
- Must have good communication skills to notify facilities when not getting split billing per procedure to maintain the flow of discharge information coming to billing office.
- Obtain information for processing vaccination claims
- Any other duties as assigned.
Job Requirements:
- High School Graduate or equivalent level of education
- Certified Pharmacy Technician preferred
- Billing Experience Preferred
- Must be familiar with Part D Pharmacy Insurance Plans.
- Must be able to maintain information in a confidential manner
- Must have basic accounting abilities and ability to work with large numbers.
- Must be able to follow outlined procedures as related to billing assigned payers and expectations set forth by Manager.
Visit www.libertycareers.com for more information.Background checks/drug-free workplace.EOE.