Pharmacy Billing Specialist

Elderwood Administrative Services; Buffalo (NY); On-site; USD 20,457 - 29,136; Full time

Benefits offered by this job

Full Benefits Package - Medical, Dental, Vision, Life

401(k) with company match

Competitive Pay

Weekly Paycheck

Solid Team Atmosphere

Job summary

Elderwood Administrative Services is seeking a detail-oriented Pharmacy Billing Specialist in Buffalo, NY, to manage pharmacy claims billing in a full-time, on-site capacity. The candidate should possess an Associate's Degree or equivalent and have 1-2 years of medical billing experience, preferably with pharmacy claims. This role offers a comprehensive benefits package including medical, dental, and vision benefits plus competitive pay and a solid team environment.

Qualifications

• 1-2 years medical billing/collections experience, preferably in Long Term Care.
• Experience with pharmacy claims and various types of pharmacy billing is preferred.
• Excellent customer service and phone skills are required.

Responsibilities

• Electronic billing of Medicare, Medicaid, and Third Party Insurance pharmacy claims.
• Troubleshoot rejected insurance claims resulting in payments.
• Conduct bill/invoice review and Medicaid claim rebilling.

Skills

Customer Service Skills

Problem Solving

Organizational Skills

Time Management Skills

Education

Associate's Degree or High School diploma (or GED)

Tools

Sage 300

Framework LTC software

Microsoft Office 365

Job description

Salary

Starting at $18.00 / hr

Overview

Woodmark Pharmacy of NY is looking for an experienced, detail-oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our residents and their families. This position is Full Time on-site!

Benefits of working at Woodmark of NY:

• Full Benefits Package - Medical, Dental, Vision, Life
• 401(k) with company match
• Competitive Pay
• Weekly Paycheck
• Solid Team Atmosphere - position is on-site!

Shift: Days - 8:00am - 4:00pm

Responsibilities

• Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system.
• Skilled nursing facility, assisted living facility and private pay pharmacy claim billing
• Troubleshoot rejected insurance claims resulting in payments
• Prior Authorizations required from Third Party Insurance
• Bill/Invoice Review
• Medicaid Pending Status Review
• Medicaid claim rebilling
• Updated Skilled Nursing Facility Census and Resident Payer Status
• Projects as needed
• Customer Service orientated (external and internal)

Base wages increase with experience!

Qualifications

• Associate's Degree or High School diploma (or GED) and 1-2 years medical billing/collections experience (Long Term Care Preferred) or Pharmacy Technician experience in retail, long term care or hospital.
• Experience with Pharmacy claims and various types of pharmacy billing preferred
• Excellent Customer Service and Phone Skills required
• Collections experience preferred
• Sage 300 and Framework LTC software experience preferred
• Microsoft Office 365
• Excellent organizational and time management skills
• Self-motivated with ability to effectively solve problems

This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

EOE Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.