Pharmacy Technician (Claims and Billing) - Internal

Kalamazoo Long Term Care Pharmacy•Saginaw, MI

1d•$18 - $22•Onsite

About The Position

Princing's LTC Pharmacy is seeking a full-time Claims Technician to join their long-term care pharmacy team in Saginaw, MI. The role focuses on ensuring the smooth operation of the billing workflow, supporting residents, facilities, and care teams with accurate and reliable service. The company mission is to optimize quality of life through personalized pharmacy solutions, guided by core values of teamwork, professionalism, positivity, continuous improvement, and customer focus.

Requirements

High School Diploma or equivalent
Michigan Pharmacy Technician License (required)
1-2 years of pharmacy billing or healthcare claims processing experience
Experience with pharmacy billing platforms like FrameworkLTC or QS/1
Solid understanding of Medicaid, Medicare Part D, and private insurance
Strong problem-solving ability when it comes to claim rejections and PA issues
Excellent attention to detail, communication, and time management
A commitment to patient confidentiality

Responsibilities

Processing and submitting daily prescription claims in real time
Monitoring and clearing billing queues to maintain workflow
Managing recurring billing cycles for long-term care and institutional patients
Handling timely, accurate bulk claims tied to cycle fill schedules
Creating, monitoring, and managing billing batches within pharmacy systems
Reviewing batch exceptions and resolving issues quickly
Identifying rejected claims and navigating the prior authorization process
Working with providers and payers to gather prior authorization documentation and reprocess claims
Updating billing records when patients are admitted, discharged, or have insurance or level-of-care changes
Prioritizing first-dose and urgent claims to support immediate patient needs
Communicating and collaborating with the pharmacy team on time-sensitive billing issues
Supporting the team with additional tasks as needed