Adjudication Pharmacy Technician

Job Title: Adjudication Pharmacy TechnicianCompany: Finney's Institutional Pharmacy Location: Indianapolis, IN OR North Canton, OHJob Type: Full-timeJob Description:Finney's Institutional Pharmacy is seeking a motivated and customer-oriented individual to join our team as an Adjudication Pharmacy Technician. As a vital part of our adjudication team, you will be responsible for ensuring prescriptions are dispensed to eligible patients and billed properly in accordance with their benefit plan. Additionally, you will maintain a positive and pleasant demeanor with all customers and colleagues while accurately confirming eligibility and billing.Responsibilities:Perform Billing duties as neededUnderstand the pharmacy front-end process and perform point of sale functions (adjudication)Contact payors and/or other outside agencies to verify information and resolve common, non-clinical problemsRun weekly billing reportsObtain accurate billing and resident information, and rebill and resolve unpaid claims through adjudicationRe-bill and reconcile all incorrectly billed, non-clinical third-party denialsIdentify and resolve and process denied claims in a timely mannerDocument all communication concerning denied claims and any resolution communicated to facility or physiciansObtain Prior Authorizations and non-covered formsObtain Part B documentationAssist with billing DME supplies on line (Medicaid)Resolve Hospice denials and communicate to Hospice nurses any denied claimsAdhere to and demonstrate mastery of current operating proceduresUse DocuTrack skills to locate specific documents and fax documents to facilities and/or for audit purposesStay in line with End of Month processes and deadlinesEnsure customer requests are handled quickly and professionallyCommunicate effectively with customers to resolve billing inquiriesCommunicate effectively with third party payors to resolve denied claimsComplete and verify pricing requests for customersDirect specific inquiries to the appropriate team / individualMaintain a positive, pleasant demeanor with all customersUtilize robust problem-solving and people skills, patience, and telephone etiquetteDocument customer issues using CPAS form and communicate to managementWork with Billing/Collection Managers on special projects as needed Other duties as assignedQualifications:Active pharmacy technician license from the Ohio State Board of Pharmacy preferredPrevious pharmacy experience extremely valuable and desiredAt least 1 year of billing experienceProficient in Microsoft word and ExcelWorking Conditions:Normal working hours: Monday through Friday, 8:30AM to 5:30PM, with additional time as required based on daily workloads.This position may also include sitting for long periods of time.Participation in the on-call rotation is voluntary, with incentive pay provided.Adjudication team members must work well together as a team.This position involves multiple hours of phone time per day speaking with Finney's doctors, leaders, administrators, and patients.Physical Requirements:This position requires sitting for extended periods of time. Operating a desktop keyboard and mouse.Communicating with employees, patients, caregivers, and physicians by phone, fax, and email in a courteous and professional manner.WE PROUDLY OFFER:(Primarily) Monday - Friday Day ShiftClosed for 6 Paid Holidays14 Days of PTO in the first yearMultiple Healthcare Plans Dental and Vision CoverageFree Life Insurance Supplemental Insurance Plans 401(k) Retirement Plan with a generous company matchSimple IRAMedical and Dependent Care Flex Spending Accounts$150 Initial Scrub Allowance, $50/year Continued AllowanceJoin us at Finney's Institutional Pharmacy and become a valuable member of our dedicated team committed to providing exceptional customer service in the healthcare industry. Apply now and be part of our mission to make a difference in the lives of our patients and community.EEOC StatementWe are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Salary : $50