Long Term Care Pharmacy Biller

Job Description

Job Description

Build Your Career with Us!

SpecialtyRx is a full-service pharmacy. We are in need of Billing Technicians with Pharmacy experience in our Ridgefield Park, NJ facility.

Please apply here

*** Take advantage of our 2nd Shift Differential***

Billing Pharmacy Technician Responsibilities

• Perform duties assigned by the Billing Supervisor.
• Research and establish patient eligibility coverage with insurance providers (state and private)
• Determine and process insurance rejections in accordance to the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with insurance company on daily basis in regard to overrides, rejections and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM when necessary.
• Follow up and resolved pending billing issues.

Billing Pharmacy Technician Requirements

• H.S. diploma or equivalent
• Courteous and polite phone skills
• Computer literate
• Ability to work nights and weekends
• Previous experience in Retail pharmacy a must
• Experience in Long Term Care Pharmacy (Preferred)
• Must be able to work independently and as a team
• Ability to multitask and work in a fast-paced environment a must
• Experience in New York Pharmacy billing claims (Preferred)
• Frameworks/ECM knowledge a plus
• Must be detail oriented

Hours: 9am-5pm, 12-8pm and 3-11pm

EEO Statement

Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state or local law.

EO/Minorities/Females/Disabled/Veterans