Pharmacy Billing Specialist

Woodmark•Buffalo, NY

8d•$18•Onsite

About The Position

Woodmark Pharmacy of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our residents and their families. This position is Full Time on-site! Benefits of working at Woodmark of NY: Full Benefits Package - Medical, Dental, Vision, Life 401(k) with company match Competitive Pay Weekly Paycheck Solid Team Atmosphere - position is on-site! Shift: Days - 8:00am - 4:00pm #Talroo

Requirements

Associate's Degree or High School diploma (or GED) and 1-2 years medical billing/collections experience (Long Term Care Preferred) or Pharmacy Technician experience in retail, long term care or hospital.
Excellent Customer Service and Phone Skills required
Excellent organizational and time management skills
Self-motivated with ability to effectively solve problems
This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

Nice To Haves

Experience with Pharmacy claims and various types of pharmacy billing preferred
Collections experience preferred
Sage 300 and Framework LTC software experience preferred
Microsoft Office 365

Responsibilities

Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system.
Skilled nursing facility, assisted living facility and private pay pharmacy claim billing
Troubleshoot rejected insurance claims resulting in payments
Prior Authorizations required from Third Party Insurance
Bill/Invoice Review
Medicaid Pending Status Review
Medicaid claim rebilling
Updated Skilled Nursing Facility Census and Resident Payer Status
Projects as needed
Customer Service orientated (external and internal)
Base wages increase with experience!