Pharmacy Billing Specialist

CommuniCare Health

Charleston, WV

# Pharmacy Billing SpecialistApplylocations: Pharmacy Solutions Group - West Virginiatime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000068185**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**:* 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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Vacancy posted 4 days ago

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