Long-Term Care Pharmacy Billing Technician

M Chest Pharmacy

Town of Texas (WI)

On-site

USD 40,000 - 60,000

Full time

14 days+
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Benefits offered by this job

Health insurance
Dental insurance
Vision insurance
401k with employer match
Paid holidays
Paid time off

Job summary

M Chest Pharmacy in Texas is seeking a Remote Pharmacy Billing Technician to join our team as a Customer Service Technician. The role focuses on billing functions, resolving insurance rejections, and collaborating with providers to ensure accurate claims processing for long-term care patients.

The ideal candidate will be a TSBP registered Pharmacy Technician with billing experience, strong communication, and the ability to work independently in a remote setting.

Qualifications

  • High School Diploma or equivalent required.
  • Texas State Board of Pharmacy Pharmacy Technician Certification in active status preferred.
  • One year of pharmacy billing experience preferred.

Responsibilities

  • Working to reduce nursing facility medication spend through strategic billing practices.

Job description

Position:Long-Term Care Pharmacy Billing Technician

Location: Remote, TX

Job Id:309

# of Openings:1

Job description

Customer Service & Billing Pharmacy Technician - M Chest Pharmacy

M Chest Pharmacy in Texas is seeking a TSBP registered Pharmacy Technician to join our team as a Customer Service Technician! The Customer Service Technician handles billing functions and exceptions including resolving insurance rejections, manage high-cost Medicare A Medications, collaborate with insurance providers, nursing center staff and prescriber's office, provide support and feedback to pharmacy personnel regarding billing errors, and to contribute to a team environment focused on operational efficiency and excellent customer service.

Job Type

Full-time

Remote

Schedule

8-hourshift

Monday - Friday 10:30a -7:30p

*Rotating Saturday & Sunday schedule (every other week)

+Days off will occur during the week when scheduled for weekend rotation

Pay Range
Specifically, youwill beresponsible for:
  • Working to reduce nursing facility medication spend through strategic billing practices
  • Entering prescription orders accurately and efficiently
  • Processing third-party adjudications and resolving claims rejections
  • Managing hospice-related claims with attention to detail and compliance
  • Handling third-party prior authorization requests
  • Processing new patient admissions, including intake of face sheets and entry of payor source information
Knowledge, Skills, and Abilities
  • Computer skills, including fundamental knowledge of Windows based software programs, including but not limited to word processing and spreadsheet applications specifically MS Excel
  • Strong written and verbal communication skills
  • Organization skills including the ability to prioritize and manage multiple tasks in a dynamicenvironment.
  • Ability to effectively and harmoniously interact with facility, group, division and company management and other employees at all levels; promotes teamwork and demonstrates strongprofessionalism.
  • Ability to communicate, perform and comprehend variables within the pharmacyoperation.
  • Ability to provide excellent customer service to all external and internalcustomers.
  • Keeps abreast of current state, federal and company policies, procedures and regulations.
  • Understand, promote and comply with rules and regulations governing residents' rights.
Qualified applicants must have
  • High School Diploma or equivalent
  • Pharmacy Technician Certification registered with the Texas State Board of Pharmacy, in "active" status and in Good Standing
Preferred applicants will have
  • One year of pharmacy billing experience preferred
M Chest Pharmacy Employee Benefits
  • Our health benefits include Health, Dental, and Vision insurance.
  • We also offer Life insurance as well as Accident, Critical Illness, and Short-Term Disability coverage.
  • 401k plan participation with employer match is available after one year of employment.
  • Work-Life balance is achievable with Paid Holidays, and a Paid Time Off accrual plan.
About M Chest Pharmacy

M Chest Pharmacy was founded in 1990 and has grown tremendously over the last 36 years. M Chest has become a leader in Long Term Care pharmaceutical services throughout the state. We provide pharmaceutical needs to assisted senior living (AL), skilled nursing facilities (SNF), long term care facilities, and other institutional care settings across Texas. Find out more about our vision and values by visiting our website, www.mchest .com, or connect with us on Facebook, LinkedIn, and twitter!

M Chest Pharmacy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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