What are the responsibilities and job description for the Pharmacy Technician - Claims Review Lead position at Consonus Healthcare?
Overview
Consonus Pharmacy is hiring a Pharmacy Technician as a Third Party Billing Lead to join our team.
Responsibilities in this position will include, but are not limited to:
The following qualifications are required for consideration:
“Be here. Be you.”
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We’ve continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We’re committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It’s the foundation of who we are and the evolution of our collective future.
Consonus Pharmacy is hiring a Pharmacy Technician as a Third Party Billing Lead to join our team.
Responsibilities in this position will include, but are not limited to:
- Provide recommendations for process improvement
- Prioritize workloads between pharmacy locations
- Lead the 2:30 stand-up daily
- Ensure staff are following current policy/processes
- Maintain professionalism and integrity at all times
- Notification to Supervisor if there are risks of customer and or staff loss
- Perform all duties per the Third party staff job description
- Ensure accuracy and processing of all Z-Reports and review weekly with supervisor for approval Staffing
- Participate and provide input for interviews and staffing
- Coordination and implementation of staff training
- Provide feedback for 30/90 and Annual reviews
- Weekly reporting on training progress
- Assist in coaching of employees as necessary
- Ensure staff provide appropriate customer service at all times
- Communication to Supervisor of staffing concerns Pharmacy Communication
- Communicate with other billing and pharmacy departments as they relate to resident and facility billing with supervisor Daily Processes
- Teamwork and communication a must
- Manage assignments of all queues for timely processing to ensure daily/weekly/monthly deadlines are met
- Assisting with higher level concerns within the teams
- Resource for various process related questions (i.e. phone calls)
- Ability to make decisions and manage daily workflow
- Set up all new third party plans including creating and distributing templates to billing department
- Other duties and responsibilities as assigned by supervisor
The following qualifications are required for consideration:
- Current State and/or National Pharmacy Technician licensure - REQUIRED.
- Previous Technician experience (1 year) working with rejections, prior authorizations, overrides and various insurances.
- Supervisor and/or Lead experience is required.
- Experience with Pharmacy Rejections
- Knowledge of Medicaid regulations and insurance filing procedures
- Ability to challenge difficult PA Rejections
- Excellent customer service and phone etiquette skills
- Ability to work in a fast paced environment.
- Strong organizational skills.
- Detail oriented and good problem solving skills.
- Computer knowledge - experience with Microsoft programs
“Be here. Be you.”
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We’ve continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We’re committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It’s the foundation of who we are and the evolution of our collective future.
