Pharmacy Billing Associate

Trilogy Health Services • Louisville, KY

81d

About The Position

Synchrony Pharmacy, a subsidiary of Trilogy Health Services LLC, is seeking a Pharmacy Billing Associate for the Pharmacy division. This position processes and ensures the accuracy and timely issuance of invoices to customers, providing health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP's), and Third-Party Insurances. The role involves various shifts including 9:00 AM- 5:30 PM, 11:00 AM - 7:30 PM, and 2:00 PM - 10:30 PM.

Requirements

• Education: High School / GED
• Experience: 1-3 years
• Certified Pharmacy Tech preferred

Responsibilities

• Generate and submit claims to insurance providers.
• Verify the accuracy of prescription orders, patient information, and insurance details before billing.
• Monitor claim status and follow up on rejected or denied claims.
• Address billing inquiries, resolve disputes, and provide exceptional customer service.
• Investigate and resolve billing discrepancies and issues with insurance claims.
• Collaborate with the pharmacy team to resolve complex billing-related problems.
• Ensure compliance with all billing guidelines and regulations.
• Verify patient insurance coverage, eligibility, and benefits.
• Address any discrepancies in coverage and communicate with patients or facilities when needed.
• Request prior authorization on drugs that are denied for prior authorization.
• Notify facilities of changes and exceptions when appropriate.
• Other duties as assigned.

What This Job Offers

• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees