Pharmacy Billing Specialist (Part Time) at Medication Management Partners

Crestwood, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Mar, 26

Salary

0.0

Posted On

13 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Pharmacy Billing, Medicare Part D, Medicaid, Commercial Insurances, Insurance Claims, Prior Authorization, Data Entry, Customer Service, Payment Processing, Reconciliation, Communication, Attention to Detail, Multi-tasking, Algebra, Pharmaceutical Math, Framework LTC

Industry

Hospitals and Health Care

Description

Description Shift: Flexible and could be arranged around your availability. Ideally, the hours would be 2p-6p. The Billing Pharmacy Technician is responsible for correct profile entry, processing, and follow-up related to the billing of resident prescriptions. Communication with community staff, resident(s), and/or POAs is of utmost importance for this role, along with researching, investigating, and staying up to date on different insurance providers. The Billing Technician is an advocate for the residents we serve and a revenue generating function of the company – both roles are equally important. This in most cases requires an investigation mindset to research, follow-up, and ensure completion of billing tasks. Attention to detail and an inquisitive spirit is essential to success in this position. Requirements Responsibilities (including but not limited to): Understanding of Medicare Part D, Medicaid, and Commercial insurances Adjudicating insurance claims and troubleshooting rejected claims Completing and/or following-up on prior authorization forms Data entry into Framework LTC and Framework ECM systems Providing customer service through phones, checking emails and messages to pharmacy and responding promptly and professionally Generating monthly statements, processing and entering payments, and reconciling third-party claims Analyzing pre- and post- adjudication reports for training opportunities and compliance Following core processes Is prompt and able to perform the required duties of the position on a regular, predictable basis Qualifications: Minimum of one year pharmacy billing experience 2+ years pharmacy technician experience High Diploma or equivalent Licensed, and in good standing, Illinois Pharmacy Technician National Pharmacy Technician Certification (PTCB or NHA) FrameworkLTC / DocuTrack knowledge a plus Must have basic knowledge of algebra and pharmaceutical math Timely and accurate data entry skills Excellent verbal and written communication skills, establishing rapport and working with others Professional demeanor and appearance with excellent customer service skills Highly organized and attentive to detail Able to multi-task and work under deadlines Motivated, punctual and reliable team member Dedicated to providing exemplary customer service

Responsibilities

The Billing Pharmacy Technician is responsible for correct profile entry, processing, and follow-up related to the billing of resident prescriptions. This role requires effective communication with community staff and residents, along with researching various insurance providers.