Pharmacy Billing Representative

Westminster Brand 051816 • Orlando, FL

3d • Onsite

About The Position

Longevity Scripts is seeking to fill a full-time Pharmacy Billing Representative position in our Orlando location. This position is responsible for providing knowledge of Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances to appropriate health care professionals, advising resident and appropriate parties on PDP options available, and enrolling and applying for low-income subsidy if applicable. EOE, DFWP – We honor those who serve.

Requirements

• 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.

Responsibilities

• Responsible for 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED