Pharmacy Billing Coordinator II

PharMerica; Louisville (KY); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

DailyPay

Health insurance

Dental insurance

Vision insurance

401k

Paid time off

Tuition assistance

Tuition reimbursement

Employee discount program

Non-retail/Closed-door environment

Shift differential

Job summary

PharMerica in Louisville, KY is hiring a Billing Coordinator to ensure accurate adjudication of resident billing across Medicare Part B & D, Medicaid, Hospice, and private plans. This hybrid role supports Pharmacy Operations and onboarding of new facilities, with Mon-Fri schedule and remote-friendly work.

The ideal candidate has a high school diploma, strong customer service, billing experience in healthcare, proficiency with Word/Excel, and the ability to multi-task and meet deadlines.

Qualifications

• High School Diploma or GED required.
• Excellent customer service and communication skills, both written and verbal.
• Ability to prioritize and meet deadlines.
• Must multi-task efficiently, type well and use basic tech tools.
• Experience in healthcare billing environment (pharmacy preferred).
• Familiar with online claims processing, Medicaid and Medicare billing.
• Proficient with Word and Excel.
• PAL employee may have 1+ year billing experience as PAL Core Billing Coordinator.
• Adhere to company attendance and billing responsibilities.

Responsibilities

• Ensure accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans.
• Daily, weekly, and monthly review and resolution of unbilled claims.
• Review monthly billing statements for facilities to ensure billing accuracy.
• Claim research and resolution; partner with facility contacts to achieve adjudication/payment.
• Advocate for clients as needed and communicate with insurance companies.
• Support Pharmacy Operations and onboarding of new facilities/clients.
• Provide onsite training and maintain Billing Training Manual.

Skills

Customer service

Communication

Multitasking

Typing proficiency

Education

High School Diploma/GED

Tools

Microsoft Word

Excel

Docutrack

Fusion

Job description

Our Company

PharMerica

Overview

PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!

Schedule: Mon-Fri(8:30am to 5pm)

This is a hybrid opportunity. Applicants must reside in, or commutable distance, to Louisville, KY

We offer:

• DailyPay
• Flexible schedules
• Competitive pay
• Shift differential
• Health, dental, vision and life insurance benefits
• Company paid STD and LTD
• Tuition Assistance
• Employee Discount Program
• 401k
• Paid-time off
• Tuition reimbursement
• Non-retail/Closed-door environment

• Position will be posted for a minimum of 7 business days

Responsibilities

• Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans
• Daily, weekly, and monthly review and resolution of unbilled claims
• Review monthly billing statements for facilities to ensure billing accuracy
• Claim research and resolution
• Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment
• Advocate for clients as needed
• Communicate with insurance companies as needed
• Support for Pharmacy Operations
• Utilize Framework, Docutrack, and Fusion in order to complete workflow on daily basis
• Provide onsite training for new hires
• Assist Implementation Coordinator with integration of new facilities/clients as needed
• Handle core billing responsibilities with newly gained contracted facilities onboarding with Pharmacy Alternatives
• Maintain and update the Billing Training Manual
• Perform other responsibilities as assigned

Qualifications

• High School Diploma/GED required
• Pharmacy Tech License preferred
• Excellent customer service and communication skills, both written and verbal
• Ability to prioritize and meet pre-determined deadlines
• Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
• Experience in healthcare billing environment (pharmacy preferred)
• Familiarization with online claims processing and Medicaid and Medicare billing practices
• Proficient with Microsoft Word and Excel required
• If a current PAL employee, you must:
• Have 1+ year(s) of billing experience as PAL Core Billing Coordinator
• Adhere to Pharmacy Alternatives, LLC attendance policy
• Excel and adhere to core Pharmacy Alternative billing responsibilities
• Not be on any form of Performance Improvement/Corrective Action Plan

About Our Line Of Business

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in‑class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com . Follow us on Facebook , Twitter , and LinkedIn .