<p>Job Description: Pharmacy Billing Specialist</p> <p>Reports to: Pharmacy Billing Supervisor</p> <p>Job Type: Full-Time - Hybrid/Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland</p> <p>Position Overview:</p> <p>Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.</p> <p>Key Responsibilities:</p> <ul> <li>Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance </li><li>Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care) </li><li>Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications </li><li>Works directly with several hospice plans and third party plans as needed </li><li>Daily reviews of SQL reports setup to ensure a clean facility invoice </li><li>Any other assigned duties that relates to billing </li><li>Follow federal and state regulations </li><li>Adhere to company policies and procedures </li><li>Follow HIPPA guidelines and regulations </li></ul> <p>Qualifications:</p> <ul> <li>Previous Long-Term Care pharmacy experience a plus (but not required) </li><li>Knowledge of Framework LTC a plus (but not required) </li></ul> <p>Salary and Benefits:</p> <ul> <li>Competitive salary commensurate with experience </li><li>Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more </li></ul>