Pharmacy Billing Specialist

CommuniCare Health; West Virginia; On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Comprehensive benefits package

Job summary

CommuniCare Health is seeking a Pharmacy Billing Specialist in West Virginia to manage and update patient accounts, ensuring consistent billing processes across various payers. This is a full-time position that offers hybrid and remote work options.

The ideal candidate will have some experience in Long-Term Care pharmacy and knowledge of Framework LTC. The role comes with a competitive salary and comprehensive benefits, including health, dental, and vision insurance.

Qualifications

• Previous Long-Term Care pharmacy experience a plus (but not required)
• Knowledge of Framework LTC a plus (but not required)

Responsibilities

• Manage and update patient accounts to ensure consistent billing processes.
• Maintain all current patient accounts by verifying insurance.
• Work closely with facility business office managers for Medicare insurance plans.

Skills

Long-Term Care pharmacy experience

Knowledge of Framework LTC

Job description

## Pharmacy Billing SpecialistApplylocations: Pharmacy Solutions Group - West Virginiatime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000068185**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**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