Pharmacy Billing Specialist

Job Address :

15063 MacCorkle AvenueCabin 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 :

Salary and Benefits :