Pharmacy Billing Representative
Westminster Communities of Florida · Orlando, FL · 2 wk ago
On-siteAccountingFull-time
Essential Job Functions
- 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
- A 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.