What are the responsibilities and job description for the Billing Specialist position at Prescott Pharmacy LTC?
Billing Specialist – Long-Term Care Pharmacy
Prescott Pharmacy LTC is seeking an experienced Full-Time Billing Specialist to join our team in Massachusetts. This is an in-person position for a detail-oriented professional who has experience with long-term care pharmacy billing and is committed to delivering accurate, timely billing services.
Responsibilities
· Submit and process pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans.
· Investigate and resolve claim rejections, denials, and billing discrepancies.
· Manage accounts receivable and follow up on outstanding claims.
· Process billing adjustments, credits, and rebills.
· Communicate with insurance companies, long-term care facilities, and pharmacy staff to resolve billing issues.
· Maintain accurate billing records and ensure compliance with federal and state regulations.
· Assist with month-end billing processes and other administrative duties as needed.
Qualifications
· Previous experience in long-term care pharmacy billing is required.
· Experience using QS/1 PrimeCare pharmacy management software is preferred.
· Strong knowledge of Medicare Part D, Medicaid, and commercial insurance billing.
· Experience resolving insurance claim rejections and denials.
· Excellent organizational, communication, and problem-solving skills.
· Strong attention to detail and ability to work in a fast-paced environment.
· Ability to work independently and as part of a collaborative team.
Benefits
· Competitive pay based on experience
· Health and dental insurance
· Paid time off and paid holidays
· 401(k) with company match (if applicable)
· Stable, full-time employment
· Opportunities for professional growth
· Supportive, team-oriented work environment
If you are an experienced long-term care pharmacy-billing professional with QS/1 PrimeCare experience and are looking to join a growing pharmacy team, we encourage you to apply today. We look forward to welcoming you to Prescott Pharmacy LTC.
Location: Worcester, Massachusetts
Schedule: Monday–Friday, 9 AM–5 PM
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person