Pharmacy Billing Specialist - On-Site, Day Shift, Benefits

Elderwood Administrative Services; Eggertsville (NY); Sur place; USD 20 000 - 29 000; Plein temps

Avantages offerts par ce poste

Full Benefits Package - Medical,Dental

401(k) with company match

Weekly Paycheck

Résumé du poste

Woodmark Pharmacy of NY is seeking a Pharmacy Billing Specialist who will perform electronic billing of Medicare, Medicaid, and third-party claims using the Framework LTC system. This on-site, full-time role requires accuracy, reliability, and strong customer service skills to support residents and families.

The ideal candidate has pharmacy billing experience, familiarity with Sage 300 and Microsoft Office 365, and the ability to work in a fast-paced long-term care setting.

Qualifications

• Experience in medical billing/collections in LTC or pharmacy
• Knowledge of Medicare/Medicaid billing
• Strong customer service and phone skills
• Proficient in Microsoft Office 365

Responsabilités

• Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system.
• Billing for Skilled Nursing Facility, Assisted Living Facility and private pay pharmacy claims.
• Troubleshoot rejected insurance claims to maximize payments.
• Handle Prior Authorizations from Third Party Insurance.
• Bill/Invoice Review and Medicaid status updates.

Connaissances

Pharmacy billing

Medicare/Medicaid claims

Customer service

Sage 300

Framework LTC

Microsoft Office 365

Time management

Problem solving

Formation

Associates or HS diploma

Outils

Sage 300

Framework LTC

Description du poste

Woodmark Pharmacy of NY is seeking a Pharmacy Billing Specialist who will perform electronic billing of Medicare, Medicaid, and third-party claims using the Framework LTC system. This on-site, full-time role requires accuracy, reliability, and strong customer service skills to support residents and families.

The ideal candidate has pharmacy billing experience, familiarity with Sage 300 and Microsoft Office 365, and the ability to work in a fast-paced long-term care setting.