Pharmacy Technician/ Billing Specialist - 4 Front Pharmacy

Alvarado Parkway InstituteLa Mesa, CA
Onsite

About The Position

4 Front Pharmacy is a patient-first outpatient retail pharmacy that delivers free, same-day prescription medication to patients throughout San Diego County. At 4 Front Pharmacy, our mission is to put our patients at the forefront of pharmacy care - regardless of income, lifestyle, or diagnosis. We are seeking a Pharmacy Technician / Billing Specialist experienced in billing with the Pioneer Pharmacy software system for prescription medications and resolving insurance rejections.

Requirements

  • Valid Pharmacy Technician license
  • Pharmacy technician: 3 years (Required)
  • 3-5 plus years of experience billing prescriptions as a pharmacy technician (retail and/or specialty experience preferred)
  • Valid certification and/or licensure wherever required by local law
  • Experience resolving insurance rejections
  • Experience calculating day supplies
  • Experience with RX-30 software
  • Knowledge of sig codes
  • Attention to detail
  • Background/Reference Check & Licensure/Certification Completion of a satisfactory background and reference checks.
  • Employee signed employment non-compete/confidentiality agreement
  • Individuals whose position may require licensure, registration or certification must maintain such as current and valid.
  • Annual Flu vaccination is required as a condition of hire and ongoing employment.
  • Pass drug and alcohol test performed by Concentra.
  • Clear TB skin test or Chest X-Ray at Concentra.
  • Complete a satisfactory physical examination at Concentra designed solely to determine your ability to perform the duties of the position being offered.

Nice To Haves

  • experience with the Pioneer Pharmacy software system

Responsibilities

  • Bill insurance plans for regular and specialty medications
  • Accurately and efficiently bill medications to Retail and Long-Term Care Facilities and/or Third Parties.
  • Review claims post-processing for any errors or potential reimbursement.
  • Track and collect payments from patients, facilities and third parties.
  • Submit Prior Authorizations (PAs) and Treatment Authorization Requests (TARs) to insurance to obtain authorization to bill non-formulary items.
  • Maintain an open line of communication with facility personnel regarding costs of medications and/or billing issues.
  • Resolve insurance rejections
  • Prepare monthly reports and invoices for all facilities for accounting purposes
  • Other duties as assigned.

Benefits

  • Free, same-day prescription medication delivery
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