Pharmacy Business Support Specialist, Winston Salem
American Addiction Centers•Winston-Salem, NC
•$22 - $33•Onsite
About The Position
The Pharmacy Business Support Specialist role is a full-time position within the Retail Pharmacy - Pharmacy Business Operations department. This role is responsible for various financial and administrative tasks related to pharmacy claims, payments, receivables, and patient billing. The position is based on-site at Piedmont Plaza 1 in Winston Salem and operates on a Monday-Friday schedule from 8 am to 5 pm.
Requirements
- High school diploma or equivalent.
- No work experience required.
- Proficient with calculator, PC, scanner, and copy machine.
- Proficient with Microsoft Excel, Word, and Outlook.
- Proficient with Adobe Pro.
- Ability to multi-task and be self-motivated.
- Strong mathematical skills and the ability to perform accurate detailed work are a must.
- Ability to work in an environment with interruptions and moderate noise levels.
- Registration or licensure with state board of pharmacy per state of employment requirements.
Responsibilities
- Reconciles pharmacy claims to third party and interdepartmental payments.
- Tracks and reports payments, receivables, and bad debt.
- Reviews EOB’s and reconciles bank deposits.
- Manages documentation and assists in pharmacy financial assistance program processes.
- Utilizes payer and banking portals to research payment denials and exceptions.
- Contacts third party payers to resolve issues resulting in denials/underpayments.
- Responds to payer requests for supporting documentation.
- Communicates payment and remittance information to external billing agencies.
- Submits manual claims, as necessary.
- Monitors claim status to ensure proper payment is received.
- Ensures that Medicare Part B documentation is completed and maintained to support compliant billing.
- Provides billing compliance training for pharmacy staff.
- Compiles relevant supporting documentation in response to payer audits.
- Manages patient billing and receivables.
- Generates patient invoice statements and processes payments.
- Administers outpatient pharmacy charity care and extended payment programs.
- Answers pharmacy billing phone line and assists patients with questions.
- Assists with payer credentialing.
- Compiles and submits necessary documentation.
- Submits pharmacy invoices for payment.
- Ensures pharmacy is invoiced properly and vendors are paid in a timely fashion.
- Maintains financial data and generates monthly reports to support month-end accounting entries.
- Produces ad hoc management reports as necessary.
- Seeks ways to minimize waste and reduce cost.
- Works within budget guidelines.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
