Pharmacy Billing Coordinator II

Pharmacy Alternatives; Louisville (KY); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life

Company paid STD and LTD

Tuition Assistance

Employee Discount Program

401k

PTO

Tuition reimbursement

Non-retail/Closed-door environment

Job summary

PharMerica in Louisville, KY seeks a Pharmacy Billing Coordinator II for accurate adjudication of resident billing across Medicare, Medicaid, Hospice, and private plans. The role includes training new hires, resolving unbilled claims, and supporting pharmacy operations in a hybrid environment.

The position requires a high school diploma, preferred Pharmacy Tech license, strong communication skills, and proficiency in Word/Excel. Experience with Medicaid/Medicare billing is a plus.

Qualifications

• High School Diploma/GED required
• Pharmacy Tech License preferred
• Excellent customer service and communication skills
• Ability to prioritize and meet deadlines
• Multi-tasking and computer proficiency
• Healthcare billing experience preferred
• Medicaid/Medicare billing knowledge a plus
• MS Word and Excel proficient

Responsibilities

• Ensure accurate 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
• Collaborate with facility contacts to resolve claim issues and drive adjudication/payment
• Provide onsite training for new hires and support implementations
• Maintain Billing Training Manual and core Pharmacy Alternatives billing processes
• Perform other duties as assigned

Job description

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

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!

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

Responsibilities

The Pharmacy Billing Coordinator II is responsible for the accurate and timely adjudication of all prescriptions, onsite training of new hires as needed, and the maintenance of the pharmacy unbilled as well as performing other clerical duties as assigned.

• 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.