Billing Pharmacy Tech: Claims & Reconciliation Expert

Medication Management Partners; Crestwood (IL); On-site; USD 26,000 - 34,000; Full time

Job summary

Medication Management Partners in Crestwood, IL is seeking a Billing Pharmacy Technician to manage billing of resident prescriptions. You will enter profiles, process claims, and follow up with staff, residents, and POAs to ensure accurate reimbursement.

The role requires knowledge of Medicare Part D, Medicaid, and commercial insurances; ability to adjudicate claims, handle prior authorizations, data entry into FrameworkLTC/FrameworkECM, and strong customer service while meeting deadlines.

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 / FrameworkECM 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

• Entry of resident prescription profiles, processing, and follow-up related to billing.
• Communicating with community staff, residents, and POAs to ensure accurate reimbursement.
• Researching, investigating, and staying up to date on different insurance providers.
• Advocating for residents and generating revenue through accurate billing.
• Ensuring adherence to core processes and timely completion of tasks.

Skills

Pharmacy billing

Customer service

Data entry

Communication

Attention to detail

Time management

Teamwork

Education

High School Diploma or equivalent

Licensed Pharmacy Technician (IL)

Tools

FrameworkLTC

FrameworkECM

Job description

Medication Management Partners in Crestwood, IL is seeking a Billing Pharmacy Technician to manage billing of resident prescriptions. You will enter profiles, process claims, and follow up with staff, residents, and POAs to ensure accurate reimbursement.

The role requires knowledge of Medicare Part D, Medicaid, and commercial insurances; ability to adjudicate claims, handle prior authorizations, data entry into FrameworkLTC/FrameworkECM, and strong customer service while meeting deadlines.