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CommuniCare Health Services

Pharmacy Billing Specialist

Posted 13 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in West Virginia, USA
Entry level
Remote
Hiring Remotely in West Virginia, USA
Entry level
Manage and update patient pharmacy accounts to ensure accurate billing across payers. Verify and edit insurance (Medicare Part D, Medicare A, Medicaid, commercial, managed care), review SQL reports for clean facility invoices, coordinate with business office managers and hospice/third-party plans, and maintain compliance with federal/state regulations and HIPPA guidelines.
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Job Address:

15063 MacCorkle Avenue Cabin Creek, WV 25035

Job Description: Pharmacy Billing Specialist

Reports to: Pharmacy Billing Supervisor

Job Type: Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview:
Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.

Key Responsibilities:

  • Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance
  • Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care)
  • Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications
  • Works directly with several hospice plans and third party plans as needed
  • Daily reviews of SQL reports setup to ensure a clean facility invoice
  • Any other assigned duties that relates to billing
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications:

  • Previous Long-Term Care pharmacy experience a plus (but not required)
  • Knowledge of Framework LTC a plus (but not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

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