Pharmacy Billing Specialist

CommuniCare Family of Companies; Wellsburg District (WV); Hybrid; USD 28,929 - 31,684; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) with company match

Paid time off

Job summary

JobRx, Inc. is seeking a Pharmacy Billing Specialist to manage and update patient accounts ensuring consistent billing processes. This hybrid/remote role covers pharmacies across West Virginia, Ohio, Indiana, and Maryland.

The ideal candidate will have experience in long-term care pharmacy, knowledge of insurance plans, and excellent attention to detail. The position offers a competitive salary of $21-23/hr and a comprehensive benefits package including health, dental, and vision insurance.

Qualifications

• Understanding of billing processes and patient account management.
• Ability to adhere to federal and state regulations.
• Familiarity with HIPAA guidelines.

Responsibilities

• Manage and update patient accounts for consistent billing processes.
• Maintain patient accounts by verifying insurance information.
• Adhere to company policies and procedures.

Skills

Long-Term Care pharmacy experience

Knowledge of Framework LTC

Job description

Job Address

15063 MacCorkle AvenueCabin Creek, WV 25035

Job Description

Pharmacy Billing Specialist

Reports to

Pharmacy Billing Supervisor

Job Type

Full-Time - Hybrid/Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland

Pay Rate

$21-23/hr

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 outlined 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 relate to billing
• Follow federal and state regulations
• Adhere to company policies and procedures
• Follow HIPAA 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