Pharmacy Billing Specialist

## Pharmacy Billing Specialist Apply locations:
Pharmacy Solutions Group - West Virginia time type:
Full time posted on:
Posted Yesterday job requisition :
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- ** Job Address:
** 15063 Mac Corkle 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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