Pharmacy Technician- Billing Specialist

Tarrytown Expocare; Austin (TX); Remote; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive healthcare benefits

401(k) retirement plan

Paid time off

An awesome work environment

Opportunities to advance and grow your

And More!

Job summary

Tarrytown Expocare Pharmacy in Austin, TX is seeking a Pharmacy Technician - Billing Specialist to join our remote team. You will adjudicate insurance claims, resolve rejections, and collaborate with prescribers for prior authorizations.

This role requires knowledge of Medicare Part D/Medicaid, experience in retail or long-term care pharmacy, and proficiency with FrameworkLTC and Microsoft Office. We value accuracy, communication, and the ability to handle high-volume workflows.

Qualifications

• Minimum one year experience in a retail or long-term care pharmacy environment.
• Knowledge of Medicare Part D and Medicaid policies.
• Experience with insurance claims adjudication and prior authorizations.
• Strong communication and phone skills.
• Ability to type ~50 wpm.

Responsibilities

• Adjudicate insurance claims and resolve rejections in multi-state environment.
• Properly handle order exceptions such as refill-too-soon, invalid orders, etc.
• Working with prescribers to clarify prescriptions and obtain prior authorizations.
• Manage routine notification of insurance issues and communicate with caregivers.
• Stay updated on current Medicare/Medicaid policies and common insurance practices.
• Work with others to resolve common coverage issues or concerns.

Skills

Medicare Part D knowledge

Medicaid knowledge

Prior authorizations

Phone communication

Active listening

Written communication

Typing 50 wpm

Team player

Education

Texas State Board of Pharmacy Technician License

Tools

FrameworkLTC

Microsoft Office Suite (Outlook, Excel)

Job description

Pharmacy Technician- Billing Specialist# Pharmacy Technician- Billing SpecialistRemote Worker - NA - Austin, TX 78757## OverviewPosition TypeFull TimeTravel PercentageNone## Description**Tarrytown Expocare Pharmacy** – We are a long-term care pharmacy that provides specialized care for individuals with intellectual and developmental disabilities throughout the United States. We originated as part of an independent retail pharmacy, Tarrytown Pharmacy, which has been serving the local community since 1941. Through our dedication to provide excellence to our customers, we have grown from a small independent pharmacy to a multi-state long-term care pharmacy solution. If you are hardworking, dedicated and looking for a change in your career, we may have an opportunity for you!**We are proud to offer:*** Competitive compensation* Comprehensive healthcare benefits* 401(k) retirement plan* Paid time off* An awesome work environment* Opportunities to advance and grow your career* And More!**Duties and Responsibilities**:* Adjudicate insurance claims and resolve rejections in multi-state environment* Properly handle order exceptions such as refill-too-soon, invalid orders, etc.* Working with prescribers to clarify prescriptions and obtain prior authorizations* Manage routine notification of insurance issues and communicate with caregivers* Stay updated on current Medicare/Medicaid policies and common insurance practices* Work with others to resolve common coverage issues or concerns.## Qualifications**Required Skills/Abilities:*** Working knowledge of Medicare Part D, Medicaid, Managed Medicaid* Minimum one year experience in a retail or long-term care pharmacy environment* 1+ year of recent experience with FrameworkLTC* Must have or be willing to obtain Texas State Board of Pharmacy Technician License* Type an average of 50 wpm* Excellent phone skills, verbal and written communication skills and active listening* Proficient with Microsoft Office Suite or related software (Outlook, Excel)* Comfortable making phone calls and can handle difficult conversations* Understands basic pharmacy language to interpret prescriptions**Preferred Skills/Abilities*** 3+ years’ experience in a retail or long-term care pharmacy environment* Excellent problem-solving abilities* Ability to function well in a high-paced and, at times, stressful environment* Team player who is willing to assist other departments when needed* Communicate effectively with leadership and peers* Available for occasional overtime**Physical Requirements:*** Must be able to withstand long hours of computer screen time* Repetitive motion desk work*Tarrytown Expocare is an equal opportunity employer and values diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.*