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Pharmacy Billing Specialist - LifeSpan Pharmacy

Cardon & Associates
Posted 3 weeks ago
🇺🇸United States🏢Hybrid📁Healthcare/Clinical
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Pharmacy Billing Specialist Location: Fishers, IN. possible hybrid position Department: Billing Employment Type: Full-Time / Part-Time / PRN Exemption Status: Non-Exempt Job Code: 0470 Compensation: Up to $30/hour Position Summary We are seeking a detail-oriented and experienced Pharmacy Billing Specialist to join our team. This role is essential in supporting our long-term care pharmacy operations, ensuring accurate billing processes, and maintaining positive relationships with our partner facilities. If you have a strong understanding of insurance types, pharmacy operations, and customer service, we want to hear from you! Qualifications • Previous experience in long-term care pharmacy or pharmacy team management required. • Knowledge of Medicare, Medicaid, hospice, and insurance billing types required • Familiarity with medical terminology and brand/generic medications essential • Demonstrated understanding of long-term care pharmacy workflow Key Responsibilities Billing & Pre-Billing (70%) • Process daily census and payor changes • Apply credits and invoices to customer accounts • Review and correct unbilled charge reports before month-end • Prepare and send accurate facility and private pay statements • Respond to audit requests and facility billing inquiries • Provide price quotes and electronic billing as requested • Collaborate in streamlining billing processes and updating policies Collections & Customer Relations (15%) • Maintain accounts receivable for assigned facilities • Investigate and resolve non-payment issues • Maintain organized records and strong relationships with facility Business Office Managers General Office Duties (15%) • Attend training to improve work performance • Perform other duties as assigned by management Skills and Competencies • Proficient in Microsoft Excel or similar applications • Experience with FrameworkLTC, FrameworkECM, and Sage300 (preferred) • In-depth knowledge of pharmacy insurance claims adjudication • Strong communication, time management, and multitasking abilities • Capable of working efficiently in a fast-paced team environment Work Environment Climate-controlled, smoke-free office setting. Regular use of computer terminals. Occasional physical tasks such as bending, walking, and light lifting (up to 25 lbs.). We require the first 90 days to be onsite with the possibility to work some or all of hours in a remote capacity. Physical Demands Overview Activity Frequency Sitting Continuously Standing/Walking Frequently Bending/Reaching Occasionally Lifting (1–25 lbs.) Occasionally Travel Occasionally Join Our Team We offer a supportive, team-oriented environment with opportunities for growth. If you're passionate about accuracy, efficiency, and providing excellent service in a healthcare setting.

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