Pharmacy Billing Specialist - LifeSpan Pharmacy

CarDon & AssociatesIndianapolis, IN
Hybrid

About The Position

We are seeking a detail-oriented and experienced Pharmacy Billing Specialist to join our team. This role is essential in supporting our long-term care pharmacy operations, ensuring accurate billing processes, and maintaining positive relationships with our partner facilities. If you have a strong understanding of insurance types, pharmacy operations, and customer service, we want to hear from you!

Requirements

  • Previous experience in long-term care pharmacy or pharmacy team management required.
  • Knowledge of Medicare, Medicaid, hospice, and insurance billing types required
  • Familiarity with medical terminology and brand/generic medications essential
  • Demonstrated understanding of long-term care pharmacy workflow
  • Proficient in Microsoft Excel or similar applications
  • In-depth knowledge of pharmacy insurance claims adjudication
  • Strong communication, time management, and multitasking abilities
  • Capable of working efficiently in a fast-paced team environment

Nice To Haves

  • Experience with FrameworkLTC, FrameworkECM, and Sage300 (preferred)

Responsibilities

  • Process daily census and payor changes
  • Apply credits and invoices to customer accounts
  • Review and correct unbilled charge reports before month-end
  • Prepare and send accurate facility and private pay statements
  • Respond to audit requests and facility billing inquiries
  • Provide price quotes and electronic billing as requested
  • Collaborate in streamlining billing processes and updating policies
  • Maintain accounts receivable for assigned facilities
  • Investigate and resolve non-payment issues
  • Maintain organized records and strong relationships with facility Business Office Managers
  • Attend training to improve work performance
  • Perform other duties as assigned by management
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