Pharmacy Billing Specialist

Job Address: 799 Cromwell Park Dr Suites K-M Glen Burnie, MD 21061 Job Description: Pharmacy Billing Specialist Reports to : Pharmacy Billing Supervisor Job Type : Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview : Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.

Key Responsibilities

Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care) Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications Works directly with several hospice plans and third party plans as needed Daily reviews of SQL reports setup to ensure a clean facility invoice Any other assigned duties that relates to billing Follow federal and state regulations Adhere to company policies and procedures Follow HIPPA guidelines and regulations Qualifications : Previous Long-Term Care pharmacy experience a plus (but not required) Knowledge of Framework LTC a plus (but not required) Salary and Benefits : Competitive salary commensurate with experience Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more