Pharmacy Billing Specialist at CommuniCare Health Services

Maryland, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Sep, 26

Salary

0.0

Posted On

22 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pharmacy Billing, Insurance Verification, Medicare Part D, Medicaid, HIPAA Compliance, SQL Reporting, Framework LTC, Patient Account Management

Industry

Hospitals and Health Care

Description

Job Address: 799 Cromwell Park Dr Suites K-M Glen Burnie, MD 21061 Job Description: Pharmacy Billing Specialist Reports to: Pharmacy Billing Supervisor Job Type: Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview: Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual. Key Responsibilities: Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care) Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications Works directly with several hospice plans and third party plans as needed Daily reviews of SQL reports setup to ensure a clean facility invoice Any other assigned duties that relates to billing Follow federal and state regulations Adhere to company policies and procedures Follow HIPPA guidelines and regulations Qualifications: Previous Long-Term Care pharmacy experience a plus (but not required) Knowledge of Framework LTC a plus (but not required) Salary and Benefits: Competitive salary commensurate with experience Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania). As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work and families to heal.

Responsibilities

Manage and update patient accounts to ensure consistent billing processes for various payers according to the billing manual. This includes verifying insurance, reviewing SQL reports for invoice accuracy, and coordinating with facility business office managers.