Pharmacy Billing Associate
US-KY-Louisville
Trilogy Health Services
Req #: 182227
Type: Full-Time
|
|
||||||||
|
|||||||||
Overview: Six months of training, orientation, and fun! We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back. Responsibilities: Are you compassionately committed to customer service? If so, we would like to hear from you! Synchrony Pharmacy, a subsidiary of Trilogy Health Services LLC, is seeking a Pharmacy Billing Associate for the Pharmacy divison. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization. Qualifications: Job Summary Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP's) and Third-Party Insurances. Shifts 11:00 AM - 7:30 PM Roles and Responsibilities * Generate and submit claims to insurance providers. * Verify the accuracy of prescription orders, patient information, and insurance details before billing. * Monitor claim status and follow up on rejected or denied claims. * Address billing inquiries, resolve disputes, and provide exceptional customer service. * Investigate and resolve billing discrepancies and issues with insurance claims. * Collaborate with the pharmacy team to resolve complex billing-related problems. * Ensure compliance with all billing guidelines and regulations. * Verify patient insurance coverage, eligibility, and benefits. * Address any discrepancies in coverage and communicate with patients or facilities when needed. * Request prior authorization on drugs that are denied for prior authorization. * Notify facilities of changes and exceptions when appropriate. * Other duties as assigned. Qualifications Education: High School / GED Experience: 1-3 years Licenses and Certifications Certified Pharmacy Tech preferred Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. #pharmacy
Share this job:
