Job Location : Whiteville,NC, USA
There#s no place like Liberty Healthcare Management Come explore career opportunities with#Liberty Health, a dynamic leader in the healthcare industry. #Join us! We are currently seeking an experienced: PHARMACY BILLING SPECIALIST # LONG TERM CARE Full Time, Days Job Summary: Answer all incomingcalls as related to assigned pharmacy accounts Process claims for all discharged residents on a daily basis Be familiar with how insurance companies pay pharmacy claims Contact insurance companies related to denials, rejections and prior approvals on prescriptions/orders from SNF facilities. Work with physicians, Nurse Practitioners and insurance plans to obtain order changes to meet formularies in order to obtain payment for orders. Able to maintain high volume of split billing on a daily basis. Obtain prior approvals for all services that require prior authorization by payer. Maintain follow-up file for prior authorizations and complete follow-ups. Enter all billing information into computer system. Back up billing for pharmacy done daily. Med Dispense billing for pharmacy done weekly. Must be able to work with facilities on education piece and continuing education as to the process and procedure for split billing. Must have good communication skills to notify facilities when not getting split billing per procedure to maintain the flow of discharge information coming to billing office. Obtain information for#processing vaccination claims Any other duties as assigned.# Job Requirements: High School Graduate or equivalent level of education Certified Pharmacy Technician preferred Billing Experience Preferred Must be familiar with Part D Pharmacy Insurance Plans. Must be able to maintain information in a confidential manner Must have basic accounting abilities and ability to work with large numbers.######### Must be able to follow outlined procedures as related to billing assigned payers and expectations set forth by Manager. Visit www.libertycareers.com for more information. Background checks/drug-free workplace. EOE.
There's no place like
Liberty Healthcare Management
Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!
We are currently seeking an experienced:
PHARMACY BILLING SPECIALIST - LONG TERM CARE
Full Time, Days
Job Summary:
* Answer all incoming calls as related to assigned pharmacy accounts
* Process claims for all discharged residents on a daily basis
* Be familiar with how insurance companies pay pharmacy claims
* Contact insurance companies related to denials, rejections and prior approvals on prescriptions/orders from SNF facilities.
* Work with physicians, Nurse Practitioners and insurance plans to obtain order changes to meet formularies in order to obtain payment for orders.
* Able to maintain high volume of split billing on a daily basis.
* Obtain prior approvals for all services that require prior authorization by payer.
* Maintain follow-up file for prior authorizations and complete follow-ups.
* Enter all billing information into computer system.
* Back up billing for pharmacy done daily.
* Med Dispense billing for pharmacy done weekly.
* Must be able to work with facilities on education piece and continuing education as to the process and procedure for split billing.
* Must have good communication skills to notify facilities when not getting split billing per procedure to maintain the flow of discharge information coming to billing office.
* Obtain information for processing vaccination claims
* Any other duties as assigned.
Job Requirements:
* High School Graduate or equivalent level of education
* Certified Pharmacy Technician preferred
* Billing Experience Preferred
* Must be familiar with Part D Pharmacy Insurance Plans.
* Must be able to maintain information in a confidential manner
* Must have basic accounting abilities and ability to work with large numbers.
* Must be able to follow outlined procedures as related to billing assigned payers and expectations set forth by Manager.
Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.