Pharmacy Billing Specialist

CommuniCare Health; Glen Burnie (MD); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive benefits package

401(k) with company match

Paid time off

Job summary

CommuniCare Health is seeking a Pharmacy Billing Specialist based in Glen Burnie, MD, to manage and update patient accounts ensuring consistent billing processes across various payers.

This full-time hybrid/remote role involves collaboration with facility business office managers and adherence to billing policies. Experience in long-term care pharmacy is preferred, and competitive salary along with comprehensive benefits are offered.

Qualifications

• Experience in pharmacy billing processes is preferred.
• Familiarity with Medicare and Medicaid systems is a plus.

Responsibilities

• Manage and update patient accounts for billing processes.
• Verify and edit current insurance details for accuracy.
• Work with business office managers on Medicare Part D plans.
• Review SQL reports for invoicing accuracy.
• Ensure compliance with federal and state regulations.

Skills

Long-Term Care pharmacy experience

Knowledge of Framework LTC

Job description

## Pharmacy Billing SpecialistApplylocations: Pharmacy Solutions Group - Marylandtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000119238**Job Address:**799 Cromwell Park DrSuites K-MGlen Burnie, MD 21061**Job Description:** Pharmacy Billing Specialist**Reports to**: Pharmacy Billing Supervisor**Job Type**: Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland**Position Overview**: Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.**Key Responsibilities**:* Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance* Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care)* Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications* Works directly with several hospice plans and third party plans as needed* Daily reviews of SQL reports setup to ensure a clean facility invoice* Any other assigned duties that relates to billing* Follow federal and state regulations* Adhere to company policies and procedures* Follow HIPPA guidelines and regulations**Qualifications**:* Previous Long-Term Care pharmacy experience a plus (but not required)* Knowledge of Framework LTC a plus (but not required)**Salary and Benefits**:* Competitive salary commensurate with experience* Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more