Billing Pharmacy Tech: Medicare/Medicaid Claims Expert

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

Job summary

Medication Management Partners is hiring a Billing Pharmacy Technician in Illinois to manage billing for resident prescriptions. The role emphasizes accurate data entry, claim adjudication, and proactive communication with staff and residents.

The candidate should have Medicare Part D, Medicaid, and Commercial insurance knowledge, 1+ year billing experience, and an Illinois license. Strong attention to detail and customer service are essential.

Qualifications

• Minimum of one year pharmacy billing experience.
• 2+ years pharmacy technician experience.
• Licensed Illinois Pharmacy Technician in good standing.
• National Pharmacy Technician Certification (PTCB or NHA).
• Familiarity with FrameworkLTC/FrameworkECM is a plus.

Responsibilities

• Handle billing of resident prescriptions with accurate profile entry and processing.
• Communicate with community staff, residents, and POAs professionally.
• Adjudicate insurance claims and troubleshoot rejections.
• Process prior authorization forms and data entry into LTC/ECM systems.
• Generate monthly statements and reconcile third-party claims.
• Analyze adjudication reports for training and compliance.
• Maintain timely, accurate data entry and customer service standards.

Skills

Medicare Part D knowledge

Insurance claims adjudication

Data entry

Customer service

Verbal and written communication

Attention to detail

Multi-tasking

Punctual and reliable

Education

High Diploma or equivalent

Illinois Pharmacy Technician License

Tools

FrameworkLTC/FrameworkECM

Job description

Medication Management Partners is hiring a Billing Pharmacy Technician in Illinois to manage billing for resident prescriptions. The role emphasizes accurate data entry, claim adjudication, and proactive communication with staff and residents.

The candidate should have Medicare Part D, Medicaid, and Commercial insurance knowledge, 1+ year billing experience, and an Illinois license. Strong attention to detail and customer service are essential.