Senior Pharmacy Billing Lead - LTC & Medicare

Westminster Brand 051816; Orlando (FL); On-site; USD 60,000 - 85,000; Full time

Job summary

Longevity Scripts in Orlando, FL seeks a Pharmacy Billing Supervisor to lead the billing office in admissions, billing, and adjudication of pharmacy services, and to oversee reconciliation of accounts receivable.

You will direct billing staff handling third-party claims, Medicare Part D, Medicaid, and managed care, resolve denials and prior authorizations, and ensure timely cash collections and monthly revenue reporting.

Qualifications

• 3–5 years LTC business office experience required.
• Knowledge of Medicare Part D, Medicaid, managed care, and third-party adjudication processes.
• Experience resolving insurance claim rejections, denials, and prior authorization issues preferred.
• Knowledge of long-term care pharmacy operations and nursing facility workflows preferred.
• Experience with pharmacy management and billing software (Frameworks LTC).
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Strong organizational skills with multiple priorities in a fast-paced environment.
• Excellent verbal and written communication skills.
• Strong problem-solving and critical-thinking abilities.
• Ability to maintain confidentiality and HIPAA requirements.

Responsibilities

• Directs billing office staff in processing pharmacy services claims per policies and laws.
• Oversees reconciliation of third-party claims and accounts receivable.
• Collaborates with Pharmacy Controller to maximize gross margins and provide revenue data.
• Ensures timely cash collections and month-end revenue reporting.
• Interacts with facilities, physicians, and pharmacy teams to promote teamwork.
• Handles remittance processing via NetRx, Sage 300, and MHA software.
• Assists in hiring and training of billing staff.
• Maintains confidentiality of patient and employee information.

Skills

LTC billing

Medicare Part D

Medicaid

Third-party claims

Insurance denial resolution

Pharmacy billing software

MS Office

Organization

Communication

HIPAA compliance

Problem solving

Tools

Frameworks LTC

NetRx

Sage 300

MHA

Job description

Longevity Scripts in Orlando, FL seeks a Pharmacy Billing Supervisor to lead the billing office in admissions, billing, and adjudication of pharmacy services, and to oversee reconciliation of accounts receivable.

You will direct billing staff handling third-party claims, Medicare Part D, Medicaid, and managed care, resolve denials and prior authorizations, and ensure timely cash collections and monthly revenue reporting.