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CommuniCare Corporate

Pharmacy Billing Specialist

cabin creek, WV

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Job description

Pharmacy Billing SpecialistReports to: Pharmacy Billing SupervisorJob Type: Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and MarylandPosition 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 outlined in the billing manual to ensure consistency and prescription integrity for complianceMaintain 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 clarificationsWorks directly with several hospice plans and third party plans as neededDaily reviews of SQL reports setup to ensure a clean facility invoiceAny other assigned duties that relates to billingFollow federal and state regulationsAdhere to company policies and proceduresFollow HIPPA guidelines and regulationsQualifications: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 experienceComprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

Worksite address

cabin creek, WV, 25035, US

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