What are the responsibilities and job description for the Pharmacy Billing Coordinator II position at ResCare?
Our Company
Pharmacy Alternatives
Overview
Join our PharMerica team! Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
We offer:
- DailyPay
- Flexible schedules
- Competitive pay
- Health, dental, vision and life insurance benefits
- Company paid STD and LTD
- Tuition Assistance
- Employee Discount Program
- 401k
- Paid time off
- Tuition reimbursement
Our pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!
Responsibilities
The Pharmacy Billing Coordinator II is responsible for the accurate and timely adjudication of all prescriptions, onsite training of new hires as needed, and the maintenance of the pharmacy unbilled as well as performing other clerical duties as assigned.
- Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans
- Daily, weekly, and monthly review and resolution of unbilled claims
- Review monthly billing statements for facilities to ensure billing accuracy
- Claim research and resolution
- Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment
- Advocate for clients as needed
- Communicate with insurance companies as needed
- Support for Pharmacy Operations
- Utilize Framework, Docutrack, and Fusion in order to complete workflow on daily basis
- Provide onsite training for new hires
- Assist Implementation Coordinator with integration of new facilities/clients as needed
- Handle core billing responsibilities with newly gained contracted facilities onboarding with Pharmacy Alternatives
- Maintain and update the Billing Training Manual
- Perform other responsibilities as assigned
Qualifications
- High School Diploma/GED required
- Pharmacy Tech License preferred
- Excellent customer service and communication skills, both written and verbal
- Ability to prioritize and meet pre-determined deadlines
- Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
- Experience in healthcare billing environment (pharmacy preferred)
- Familiarization with online claims processing and Medicaid and Medicare billing practices
- Proficient with Microsoft Word and Excel required
- If a current PAL employee, you must:
- Have 1 year(s) of billing experience as PAL Core Billing Coordinator
- Adhere to Pharmacy Alternatives, LLC attendance policy
- Excel and adhere to core Pharmacy Alternative billing responsibilities
- Not be on any form of Performance Improvement/Corrective Action Plan
About our Line of Business
Pharmacy Alternatives®, a PharMerica company, is a specialized pharmacy provider focused on serving individuals with cognitive, intellectual and developmental disabilities (I/DD) helping people live their best life. Pharmacy Alternatives combined with PharMerica offer unmatched long-term pharmacy solutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living or foster care. PharMerica is one of the nation's largest pharmacy companies. The combined organization offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about Pharmacy Alternatives, please visit www.palrx.com. Follow us on Facebook and LinkedIn.
