Job description

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.

Hours - Monday-Friday 12:00pm-8:30pm plus every other Saturday and every 4th Sunday (Saturday and Sunday hours may vary from regular schedule, but will be 1st shift hours)

• 2nd Shift includes a 5% shift differential

Duties and Responsibilities

1. Runs daily ECS log report to identify denied claims for Medicare or other insurers.
2. Reviews and completes all denied claims in the ECS log for Medicare and other insurers
3. Requests prior authorization on drugs that are denied for prior authorization.
4. Obtains third-party insurance information on all necessary orders.
5. Bills any non-covered drugs to the appropriate party
6. Enters debit/credit adjustments in Operating System as needed.
7. Ensures patient profiles are updated with payor changes and exceptions.
8. Notifies facilities of changes and exceptions when appropriate.
9. Processes and prints all monthly facility invoices.
10. Assists with special projects as needed.

Qualifications:

• High School diploma or equivalent.

Licenses/Certifications:

• Ohio Board of Pharmacy Technician licensure required. National certification may be required within up to one year of employment.

Experience:

• One (1) to three (3) years’ billing experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred.
• One (1) to three (3) year’s Medicare Part D experience.
• Minimum one (1) year multi-facility experience preferred.
• Exemplary computer skills that include knowledge of the Microsoft Office Suite of products.

Let’s talk about benefits.

• Competitive salaries and weekly pay
• Wage increases EVERY quarter
• Student loan repayment, scholarships, and tuition reimbursement
• Health, dental, vision, and life insurance kick in on the first of the month after your start date
• 401(k) Match
• Bonuses for attendance, referrals, and gas
• Quarterly employee recognition ceremonies
• And so much more!

Synchrony Pharmacy complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Synchrony Pharmacy cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

Synchrony Pharmacy 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障 或性別而歧視任何人。

Job Type: Full-time

Pay: From $16.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Night shift

Work Location: One location

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