Pharmacy Billing Specialist: Long-Term Care Claims Expert

dfwHR; Mount Holly Springs (Cumberland County); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with match

HSA Options

Paid time off

Paid holidays

Vacation accrual

Job summary

dfwHR is seeking a Pharmacy Billing Specialist to join our client’s team. The role focuses on accurate billing for long-term care residents, processing insurance claims, and resolving denials. You will maintain resident billing records and support accounts receivable and month-end activities.

The ideal candidate has healthcare or pharmacy billing experience, strong attention to detail, and the ability to work in a collaborative environment with the billing team.

Qualifications

• Experience in healthcare billing or medical billing
• Strong understanding of insurance claims processing
• Excellent attention to detail and data accuracy
• Ability to work independently and as part of a team

Responsibilities

• Prepare, process, and submit billing for residents.
• Investigate and resolve rejected claims and denials.
• Maintain resident billing information and insurance changes.
• Process billing adjustments, payments, and credits.
• Monitor AR and assist with collection efforts.
• Support month-end billing reconciliation and reporting.
• Communicate with insurers and facility staff to resolve issues

Skills

Attention to detail

Data entry accuracy

Problem solving

Excel proficiency

Communication skills

Customer service

High-volume workflow

Tools

QS-1 pharmacy software

DocuTrack

Job description

dfwHR is seeking a Pharmacy Billing Specialist to join our client’s team. The role focuses on accurate billing for long-term care residents, processing insurance claims, and resolving denials. You will maintain resident billing records and support accounts receivable and month-end activities.

The ideal candidate has healthcare or pharmacy billing experience, strong attention to detail, and the ability to work in a collaborative environment with the billing team.