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PharMerica · 1 day ago

Pharmacy Billing Technician

Louisville, KY

Full-time

Onsite

Entry Level

2+ years exp

PharMerica is a high-growth organization seeking to expand its team. The Pharmacy Billing Technician will be responsible for maintaining knowledge of pharmacy billing requirements, overseeing facility billing, and ensuring exceptional customer service.

BiotechnologyHealth CareHospital

Responsibilities

Maintains current knowledge in pharmacy billing requirements related to facility (Medicare A & Managed Care), commercial third party and Medicare Part D

Demonstrate a clear understanding and commitment to the customer first vision and communicates the philosophy and mission both within the organization to associates in their department and when externally representing the organization

Provide management oversight and direction for facility billing for multiple customers or customer chain. Duties include staff development and accountability, billing quality, Prior Authorization, Claim Overrides and customer service

Validate Admissions payer information if missing from New Admissions

Participates in Quarterly Business Reviews in conjunction with Account Management

Work in conjunction with Account Management to communicate billing, Prior Authorization and Payer information with the customer, group or chain

Review monthly interim billing for the customer, group or chain of accounts

Performs other tasks as assigned

Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Qualification

Healthcare billing experienceMedicaid billing practicesMedicare billing practicesOnline claims processingCustomer serviceDetail orientedTeam playerOral communication