Billing Pharmacy Technician

Partners Pharmacy is now hiring a Pharmacy Technician to work in our Corporate Billing Department on-site in Springfield, NJ. This is a great career opportunity in Long-Term Care Pharmacy!

The ideal candidate will have previous Retail or Long-Term Care Pharmacy Technician experience performing insurance verifications, processing prior authorizations and/or contacting insurance companies for approvals.

Job Description

Hours: Monday-Friday 9am-5pm, no weekends

The Pharmacy Billing Representative will be responsible for:

• Handles all aspects of facility and private billing for assigned client facilities and provides exceptional customer service by handling inquiries
• Updates the system with face sheet information for residents in their assigned facilities and tracks and enters daily census for assigned facilities
• Reviews and updates system with resident information received from returned contracts for assigned facilities.
• Handles re-bill rejections resulting from status changes for assigned facilities.
• On a monthly basis, contacts Unysis, CMS, and facilities to follow up on pending Medicaid statuses.
• Follow up with doctors and facilities for necessary Medicare B compliance documentation and maintain compliance documentation needed and complete patient files for Medicare B billing requirements
• Reconcile claims including secondary claims and research for each state
• Participates in ongoing education and new compliance issues for appropriate billing of Medicare B claims
• Maintains confidentiality, security and integrity of PHI information
• Communicate any issues to Third Party manager that need to be addressed or any issues that need to be resolved.
• Maintains and fosters positive work environment within the billing and admissions departments and communicates effectively with company personnel

Qualifications:

• Previous Pharmacy Technician experience is strongly preferred
• Must have knowledge of Medicare/Medicaid billing
• Communication, problem solving and organizational skills a must
• Must be able to work in a fast pace environment and meet deadlines
• Typing, computer and multi-tasking skills are a must
• Strong customer service skills

Overview - Partners Pharmacy

Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees. We are proud to Offer:

• Competitive Salaries
• Comprehensive Healthcare Benefits
• 401(k) Retirement Plan
• Paid Time Off
• Opportunities to advance and grow your career
• And More!

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide.

Partners Pharmacy is an Equal Opportunity Employer

EEO/AA/M/F/DV

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Springfield, NJ 07081: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• Do you have a general working knowledge of Medicare, Medicaid and commercial insurance plans as it relates to pharmacy?

Experience:

• Pharmacy Technician: 1 year (Preferred)

Work Location: One location