What are the responsibilities and job description for the LTC/PHARMACY BILLING SPECIALIST position at Liberty Health?
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We are currently seeking an experienced :
PHARMACY BILLING SPECIALIST — LONG TERM CARE
Full Time, Days
Job Summary :
- Answer all incoming calls as related to assigned pharmacy accounts
- Process claims for all discharged residents on a daily basis
- Be familiar with how insurance companies pay pharmacy claims
- Contact insurance companies related to denials, rejections and prior approvals on prescriptions / orders from SNF facilities.
- Work with physicians, Nurse Practitioners and insurance plans to obtain order changes to meet formularies in order to obtain payment for orders.
- Able to maintain high volume of split billing on a daily basis.
- Obtain prior approvals for all services that require prior authorization by payer.
- Maintain follow-up file for prior authorizations and complete follow-ups.
- Enter all billing information into computer system.
- Back up billing for pharmacy done daily.
- Med Dispense billing for pharmacy done weekly.
- Must be able to work with facilities on education piece and continuing education as to the process and procedure for split billing.
- Must have good communication skills to notify facilities when not getting split billing per procedure to maintain the flow of discharge information coming to billing office.
- Obtain information for processing vaccination claims
- Any other duties as assigned.
Job Requirements :
Visit www.libertycareers.com for more information.
Background checks / drug-free workplace.
EOE.
PI261099211
