Pharmacy Billing Specialist - West Norriton, United States - Synergy Pharmacy Services

Description

• Adjudicate, move, and work daily prescription rejections timely.
• Batch and submit cycle prescriptions to third party payers, resolve all denials before prescriptions are delivered.
• Process daily censuses including all face sheet demographics, financially responsible payer info and Medicare, Medicaid or Commercial insurance status.
• On a biweekly basis, review prebilling reports to identify any discrepancies and reconcile as needed.
• Handle all aspects of facility and private billing for assigned facilities monthly.
• Work with providers, pharmacy staff, and nursing to notify when prior authorizations are needed and complete prior authorizations in a timely manner.
• Assist with third party audits including researching scripts and reviewing for accuracy.

• Experience in long term care or retail pharmacy environment
• 1 to 3 years of pharmacy billing experience
• Communication, problem solving, and organizational skills necessary.
• Must be able to work in a fastpaced environment and meet deadlines.
• Strong Customer Service skills
• Knowledge of Microsoft Office 365

• FrameworkLTC and SAGE 300 experience
• 1 year of pharmacy technician experience and longterm care experience

• 401(k)
• 401(k)

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

• Monday to Friday

• Office

• High school or equivalent (required)

• Long term care or retail pharmacy: 1 year (preferred)
• Framework LTC and Sage 300: 1 year (preferred)

• West Norriton, PA: Relocate before starting work (required)