Our client is seeking a detail-oriented and motivated Pharmacy Data Entry \/ Billing Specialist to join its team.<\/p>\n
The Billing Specialist will play an important role in maintaining accurate billing records, researching insurance discrepancies, resolving rejected claims, and supporting the daily financial operations of the pharmacy.<\/p>\n
The successful candidate will work alongside an experienced billing team in a collaborative environment where accuracy, efficiency, and customer service are highly valued.<\/p>\n
This is an excellent opportunity for an individual with pharmacy billing, medical billing, insurance claims, or healthcare revenue cycle experience who is looking to join a stable organization with long-term growth potential.<\/p>\n
\nPharmacy Billing Specialist Responsibilities:<\/strong> Data Entry & Account Maintenance<\/strong> Accounts Receivable & Reconciliation<\/strong> Communication & Team Support<\/strong> Pharmacy Billing Specialist Qualifications:<\/strong> Preferred Qualifications<\/strong> Benefits:<\/strong>
\nPharmacy Billing & Claims Resolution
\nPrepare, process, and submit billing for long-term care pharmacy residents.
\nProcess claims involving Medicare Part D, Medicaid, private insurance, hospice, and other third-party payers.
\nInvestigate and resolve rejected claims, insurance denials, payment discrepancies, and underpayments.
\nResearch billing issues related to medication coverage, refill limitations, insurance eligibility, and payer requirements.
\nMonitor daily billing queues and work through outstanding claim errors efficiently.
\nReview billing transactions to ensure accurate payer information and appropriate reimbursement.
\nAssist with high-volume billing corrections during month-end processing.<\/p>\n
\nMaintain accurate resident billing information, including admissions, discharges, insurance changes, and payer updates.
\nEnter and update insurance information within pharmacy billing systems.
\nProcess billing adjustments, payments, credits, and account corrections.
\nReview facility census information to ensure accurate billing classifications.
\nComplete billing comparisons to identify discrepancies between Medicare, private-pay, hospice, and other payer classifications.
\nMaintain organized billing records and supporting documentation.
\nAssist with cycle billing, daily billing, and ancillary charges.<\/p>\n
\nMonitor outstanding accounts receivable and assist with collection efforts.
\nResearch unpaid balances and follow up on outstanding claims.
\nSupport month-end billing reconciliation and reporting.
\nAssist with identifying discrepancies between billed amounts and payments received.
\nPrepare and maintain accurate documentation for billing reviews and audits.<\/p>\n
\nCommunicate with insurance providers, long-term care facilities, and internal pharmacy personnel to resolve billing issues.
\nCollaborate with facility Business Office Managers and Directors of Nursing to obtain required documentation.
\nRespond to billing-related telephone calls, emails, and customer inquiries.
\nSupport other billing team members during periods of increased workload.
\nMaintain confidentiality and ensure compliance with applicable billing and privacy requirements.<\/p>\n
\nPrevious experience in healthcare billing, pharmacy billing, medical billing, insurance claims processing, or a related administrative role.
\nStrong understanding of insurance verification, claim processing, or reimbursement procedures.
\nExcellent attention to detail and accuracy in data entry.
\nStrong problem-solving and analytical skills.
\nProficiency with Microsoft Office, particularly Excel.
\nAbility to organize, sort, filter, and review spreadsheet data.
\nExcellent verbal and written communication skills.
\nStrong customer service skills and ability to work with internal and external contacts.
\nAbility to manage high-volume workflows and meet deadlines.
\nAbility to work independently while contributing to a collaborative team environment.<\/p>\n
\nExperience in long-term care pharmacy billing or healthcare revenue cycle operations.
\nKnowledge of Medicare Part D, Medicaid, hospice, and third-party payer requirements.
\nExperience with QS-1 pharmacy management software.
\nFamiliarity with DocuTrack or comparable pharmacy documentation systems.
\nExperience researching rejected claims, billing errors, and insurance discrepancies.
\nExperience with month-end billing reconciliation and accounts receivable.
\nUnderstanding of long-term care resident admissions, discharges, and payer changes.<\/p>\n
\nMedical, dental, and vision insurance.
\nShort-term and long-term disability insurance.
\nLife insurance.
\n401(k) retirement plan with a company match.
\nHealth SavMings Account options.
\nPaid time off and paid holidays.
\nGenerous vacation accrual.<\/p>\n","protected":false},"author":0,"featured_media":171,"template":"","meta":{"inline_featured_image":false,"_promoted":"","_job_location":"Mount Holly Springs, Pennsylvania","_application":"applications@staffingfuture.com","_company_name":"Frontline Source Group","_company_website":"","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job-types":[7],"class_list":["post-960","job_listing","type-job_listing","status-publish","has-post-thumbnail","hentry","job-type-direct-hire"],"yoast_head":"\n