What are the responsibilities and job description for the Pharmacy Billing Representative position at Westminster Brand 051816?
Longevity Scripts is seeking to fill a full-time Pharmacy Billing Representative position in our Orlando location. This position is responsible for providing knowledge of Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances to appropriate health care professionals, advising resident and appropriate parties on PDP options available, and enrolling and applying for low-income subsidy if applicable. EOE, DFWP – We honor those who serve.
Essential Job Functions:
- Responsible for resolution of Rejections, Denials, and PA’s associated with third party insurance claims, e.g. PDPs, Medicaid, etc.
- Communication liaison regarding Medicare Part D coverage and PDPs with various business partners and stakeholders.
- Educates the staff on proper PA processes. Maintain accurate resident profiles.
- Answer incoming calls.
- Advises resident and appropriate parties on PDP options available.
- Prepares various reports as requested by management, customers and residents.
- Data Entry support, as needed.
- Billing responsibilities for assigned customers.
Minimum Qualifications
- High School Diploma or equivalent. Proficiency in Word and Excel.
- 1-3 years LTC Pharmacy billing experience.
- 1-3 years' experience with Frameworks
- Ability to demonstrate strong organizational skills including the ability to prioritize and manage multiple tasks in a dynamic environment. Ability to demonstrate problem solving and critical thinking skills.
- Knowledge of Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances. Knowledge of Pharmacy’s computer software and the ability to process medication orders.