LHM LTC/PHARMACY BILLING SPECIALIST
Liberty Health, Whiteville, North Carolina, United States, 28472
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We Are Currently Seeking An Experienced PHARMACY BILLING SPECIALIST — LONG TERM CARE Job 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.
#J-18808-Ljbffr
We Are Currently Seeking An Experienced PHARMACY BILLING SPECIALIST — LONG TERM CARE Job 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.
#J-18808-Ljbffr