Medicare & PDP Pharmacy Billing Specialist

Westminster Brand 051816; Orlando (FL); On-site; USD 42,000 - 58,000; Full time

Job summary

Longevity Scripts in Orlando is hiring a full-time Pharmacy Billing Representative to manage Medicare/Medicaid PDPs and third-party billing. You will educate staff, handle inquiries, prepare reports, and maintain resident profiles, ensuring accurate data entry and timely billing for assigned accounts.

Ideal candidates have 1–3 years LTC pharmacy billing experience, proficiency with Word/Excel, and strong organizational and problem-solving skills to thrive in a dynamic healthcare environment.

Qualifications

• High School Diploma or equivalent; proficiency in Word and Excel.
• 1–3 years LTC Pharmacy billing experience.
• 1–3 years' experience with Frameworks.
• Strong organizational skills with the ability to prioritize and multi-task; strong problem solving.

Responsibilities

• Resolve rejections, denials, and PA's with third party insurance claims (PDPs, Medicaid, etc.).
• Communicate about Medicare Part D coverage and PDPs with partners and stakeholders.
• Educate staff on PA processes and maintain resident profiles.
• Answer incoming calls.
• Advise residents on PDP options available.
• Prepare reports requested by management, customers and residents.
• Data entry support as needed.
• Billing responsibilities for assigned customers.

Skills

LTC Pharmacy billing

Medicare PDPs

Third-Party Insurances

Problem solving

Organizational skills

Education

High School Diploma or equivalent

Tools

Word

Excel

Job description

Longevity Scripts in Orlando is hiring a full-time Pharmacy Billing Representative to manage Medicare/Medicaid PDPs and third-party billing. You will educate staff, handle inquiries, prepare reports, and maintain resident profiles, ensuring accurate data entry and timely billing for assigned accounts.

Ideal candidates have 1–3 years LTC pharmacy billing experience, proficiency with Word/Excel, and strong organizational and problem-solving skills to thrive in a dynamic healthcare environment.