Billing Specialist/Data Processor |
| Nov. 04, 2009 - Dec. 20, 2009 |
| Location: | Orchard Park, NY |
| Exempt/Non-Exempt: | Non-Exempt |
| Benefits: | Health, Dental, Vision, 401(k), Vacation, Personal and Sick Time |
| Employment Type: | Full Time |
| Department: | Tara Pharmacy |
| Description: | Responsible for processing and collections of pharmacy billing for supported long-term care nursing facilities, posting 3rd party cash receipts, as well as researching discrepancies and interfacing with all pharmacy management and employees. |
| Duties: | Key areas of responsibility
• Accurate pharmacy billing to Medicare Part D, Medicaid, third party insurances and private pay.
• Posting of 3rd party remittance advices and balancing.
• Ability to research all third party insurance discrepancies with timely results.
• Third party and private collections experience.
• Strong customer service skills.
Consults with
• Pharmacy Directors of Alabama, Mississippi and Missouri Pharmacies.
• Pharmacy Billing Manager.
• Pharmacy Billing Specialist in New York, Alabama, Mississippi and Missouri.
• All levels of management.
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| Qualifications: | • 1 year data entry experience focusing on 3rd party cash posting and reconciliation.
• 1-2 years long-term care pharmacy billing experience with an understanding of Medicare, Medicaid, third party insurances and private pay.
• Knowledge/experience in pharmacy billing operations.
• Knowledge of electronic claims submission on pharmacy billing system, with QS-1 a plus.
• Ability to communicate with all long- term care pharmacy insurances such as Medicaid, Medicare Part D plans, third party insurances and private pay clients on a daily basis.
• Troubleshoot and resolve long-term care pharmacy charges to reimbursement.
• Proficient with Microsoft Excel, Word and Microsoft Outlook.
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