Regional Pharmacy Technician – Billing Specialist

Job Description:

• Works directly with the Regional Billing Lead and Regional Billing Manager to execute various billing tasks for each of the pharmacy locations.
• Assisting in audit compliance, vaccine billing, Medicare open enrollment, ancillary billing charges, cost comparisons and other billing-related tasks.
• Assist in researching, identifying and organizing documentation related to the timely processing of PBM audit requests for all SPS locations
• Assist in monitoring and executing all billing-related functions surrounding vaccine clinics
• Create ancillary revenue billing transactions according to contract and pharmacy performance at required intervals (monthly, quarterly, etc..)
• Participate in special enrollment and open enrollment activities as needed
• Perform new admission medication cost reviews as needed
• Provide customer service to internal and external customers as needed
• Update and process low income subsidies as needed
• Any other responsibilities as directed by supervisor

Requirements:

• High School diploma required, college degree in business preferred
• Pharmacy Technician registration required; National Certification preferred (PTCB)
• Excellent computer skills, including MS Office (Excel, Word, Teams)
• Excellent verbal and written communication skills; professional demeanor
• Strong attention to detail and analysis skills
• Ability to maintain confidentiality at all levels
• Ability to work to deadlines and balance multiple priorities
• Strong work ethic and desire to excel
• Pharmacy experience required
• Collections and Adjudication experience preferred
• FrameworkLTC and FrameworkECM experience required
• Strong knowledge of 3rd party insurance requirements
• Strong knowledge of pharmacy documentation requirements preferred

Benefits:

• Competitive pay
• 401(k) with company match
• Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
• Medical, Dental and Vision
• Health Savings Accounts and Flexible Spending Accounts
• Company-paid Basic Life and Accidental Death & Dismemberment
• Company-paid Long-Term Disability and optional Short-Term Disability
• Voluntary Employee and Dependent Life, Accident and Critical Illness
• Dependent Care Flexible Spending Accounts
• Wellbeing Employee Assistance Program (EAP)
• Guardian Angels (Employee assistance fund)
• Paid holidays and sick days
• Generous vacation benefits based on years of service

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