Pharmacy Billing Representative

Pharmacy Billing Representative

Longevity Scripts is seeking to fill a full-time Pharmacy Billing Representative position in our Orlando location. This position is responsible for providing knowledge of Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances to appropriate health care professionals, advising resident and appropriate parties on PDP options available, and enrolling and applying for low-income subsidy if applicable. EOE, DFWP We honor those who serve.

Essential Job Functions:

• Responsible for resolution of Rejections, Denials, and PA's associated with third party insurance claims, e.g. PDPs, Medicaid, etc.
• Communication liaison regarding Medicare Part D coverage and PDPs with various business partners and stakeholders.
• Educates the staff on proper PA processes. Maintain accurate resident profiles.
• Answer incoming calls.
• Advises resident and appropriate parties on PDP options available.
• Prepares various reports as requested by management, customers and residents.
• Data Entry support, as needed.
• Billing responsibilities for assigned customers.

Minimum Qualifications

• High School Diploma or equivalent. Proficiency in Word and Excel.
• 1-3 years LTC Pharmacy billing experience.
• 1-3 years' experience with Frameworks
• Ability to demonstrate strong organizational skills including the ability to prioritize and manage multiple tasks in a dynamic environment. Ability to demonstrate problem solving and critical thinking skills.
• Knowledge of Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances. Knowledge of Pharmacy's computer software and the ability to process medication orders.