Billing Associate: Prescription Claims & Care Coordination

Quality-Pharmacy; Donegal Township (PA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive wages

DailyPay

Tuition support

Health insurance

Voluntary benefits

Generous ETO

Educational benefits

Employee assistance

Job summary

Quality Life Services is seeking a Billing Associate to manage prescription insurance claims and ensure accurate adjudication with third-party payers. You will work closely with nursing staff to resolve rejected claims and support residents and families with billing questions.

This Full-Time role requires prior medical billing experience, strong Excel/Word skills, and availability for 40 hours per week, Monday through Friday with periodic weekend rotation.

Qualifications

• Prior medical/pharmacy billing experience is required.
• Proficiency in Microsoft Excel and Word is required.

Responsibilities

• Oversee prescription insurance claims processing.
• Adjudicate pharmacy claims with third party payers.
• Contact third party payers for overrides on denied claims.
• Coordinate solutions on rejected claims with nursing staff.
• Review Long Term Care facility files and reconcile resident status changes.
• Assist residents and families with billing issues.
• Perform prior authorizations and reviews.
• Process Long Term Care facility returns.
• Bill and organize Emergency kits.

Skills

Billing/Medical billing

Tools

Excel

Word

Job description

Quality Life Services is seeking a Billing Associate to manage prescription insurance claims and ensure accurate adjudication with third-party payers. You will work closely with nursing staff to resolve rejected claims and support residents and families with billing questions.

This Full-Time role requires prior medical billing experience, strong Excel/Word skills, and availability for 40 hours per week, Monday through Friday with periodic weekend rotation.