Pharmacy Billing Coordinator II

About the Role

Join our PharMerica team! PharMerica is a closed-door pharmacy focused on fulfilling the pharmaceutical needs of long-term care and senior living clients. We operate in a non-retail environment and are in high growth mode, offering advancement opportunities for career progression. This is a hybrid position based in Louisville, KY, with a schedule of Mon-Fri, 8:30am to 5pm.

Responsibilities

• Ensure accurate and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans.
• Daily, weekly, and monthly review and resolution of unbilled claims.
• Review monthly billing statements for facilities to ensure accuracy.
• Claim research and resolution.
• Partner with facility contacts to resolve claim processing issues and achieve adjudication/payment.
• Advocate for clients and communicate with insurance companies as needed.
• Support pharmacy operations using Framework, Docutrack, and Fusion.
• Provide onsite training for new hires.
• Assist with the integration of new facilities/clients.
• Handle core billing responsibilities for newly onboarded facilities.
• Maintain and update the Billing Training Manual.
• Perform other assigned clerical duties.

Qualifications

• High School Diploma/GED required.
• Pharmacy Tech License preferred.
• Excellent customer service and communication skills, both written and verbal.
• Ability to prioritize and meet deadlines.
• Proficiency in multitasking, typing, and advanced technical skills.
• Experience in healthcare billing, preferably in pharmacy.
• Familiarity with online claims processing and Medicaid/Medicare billing practices.
• Proficient with Microsoft Word and Excel.

Additional Requirements for Current PAL Employees

• 1+ year(s) of billing experience as a PAL Core Billing Coordinator.
• Adherence to Pharmacy Alternatives, LLC attendance policy.
• Not currently on any form of Performance Improvement/Corrective Action Plan.

Benefits

• DailyPay
• Flexible schedules
• Competitive pay
• Shift differential
• Health, dental, vision, and life insurance
• Company-paid STD and LTD
• Tuition Assistance
• Employee Discount Program
• 401k
• Paid-time off
• Tuition reimbursement

PharMerica, an affiliate of BrightSpring Health Services, provides personalized pharmacy care through local teams, serving skilled nursing facilities, senior living communities, hospitals, and specialized care centers nationwide. We are committed to enhancing resident health, reducing staff burdens, and supporting client success.