Billing Technician - Pharmacy

Who We Are

 At Americare, we make a difference in the everyday lives of others, and we are proud of the work we do. We have created communities that embrace our team members like family. Our senior living communities are places where excellence thrives and that we proudly call home. Our culture is built on recognition, empowerment, and a side of fun. We've consistently been certified as a Great Place to Work, ranked on Fortune's annual Best Workplaces in Aging Services list, and were recently recognized as one of the 2024 Best Senior Living providers by U.S. News & World Report!

    Why Join Americare?

Position Summary:

Pharmacy billing includes processing claim adjudication, error resolutions, prior authorizations, delinquent accounts, and providing customer service to LTC and ALF facilities. May require maintaining computerized records, entry of patient specific information. Direct supervisor is the Billing Supervisor. Works under the direction of licensed pharmacists.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Knowledge of insurance and the ability to work with insurance and the facilities to obtain Prior Authorizations.
• Knowledge of Accounts Receivable reports, Delinquent Account report, Error Resolution, and Audits
• Contact nursing facilities to note any concerns and to offer customer support.
• Understanding written work related documents. Using mathematics to problem solve.
• Communicating with others in a supportive and functional capacity.
• The ability to read and understand information and ideas presented.
• May be required to assist pharmacist to prepare and label medications.
• May be required to prepare prescribed medication and/or prepare labels under the direction of the pharmacist.
• Knowledge of office procedures, computer skills, fax, copier etc.
• Building positive relationships with nursing facility staff

Critical Functions:

Full or part time as needed. Assures smooth and efficient operations processing nursing facility’s resident prescriptions. Ability to handle computer tasks of some complexity and variety in an independent and responsible manner. Ability to work accurately and efficiently with attention to detail while following established protocol. Ability to utilize computer and learn required software as designated by company protocol. Must have communication skills to interact with SNF, ALF staff and Third Party Vendors.

Qualifications/ Education/Experience/Skills:

• Minimal 18 years of age.
• Basic knowledge of billing. PTCB certification is not required
• TN registration
• Detail oriented and ability to maintain accuracy.
• Ability to maintain confidentiality related to facility and residents medical information.

Key Competencies:

• Ability to communicate pharmaceutical information and demonstrate professional behavior while adhering to HIPPA regulations regarding confidentiality.
• Perform data entry duties with an eye for detail and accuracy.
• Maintain accurate records; communicate through reports or verbal dialogue to supervisor areas of concern.
• Utilize office technology including computer, software program, copier, etc.
• Display professional and appropriate appearance and behavior at all times. We offer employees access to wages on demand