LTC/PHARMACY BILLING SPECIALIST

job
  • LibertyHealth System
Job Summary
Location
Whiteville ,NC 28472
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
06 Jan 2025
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Job Description

There's no place like
Liberty Healthcare Management
Come explore career opportunities with Liberty Health , a dynamic leader in the healthcare industry. Join us!
We are currently seeking an experienced:
PHARMACY BILLING SPECIALIST - LONG TERM CARE
Full Time, Days
Job Summary:

  • Answer all incoming calls as related to assigned pharmacy accounts
  • Process claims for all discharged residents on a daily basis
  • Be familiar with how insurance companies pay pharmacy claims
  • Contact insurance companies related to denials, rejections and prior approvals on prescriptions/orders from SNF facilities.
  • Work with physicians, Nurse Practitioners and insurance plans to obtain order changes to meet formularies in order to obtain payment for orders.
  • Able to maintain high volume of split billing on a daily basis.
  • Obtain prior approvals for all services that require prior authorization by payer.
  • Maintain follow-up file for prior authorizations and complete follow-ups.
  • Enter all billing information into computer system.
  • Back up billing for pharmacy done daily.
  • Med Dispense billing for pharmacy done weekly.
  • Must be able to work with facilities on education piece and continuing education as to the process and procedure for split billing.
  • Must have good communication skills to notify facilities when not getting split billing per procedure to maintain the flow of discharge information coming to billing office.
  • Obtain information for processing vaccination claims
  • Any other duties as assigned.
Job Requirements:
  • High School Graduate or equivalent level of education
  • Certified Pharmacy Technician preferred
  • Billing Experience Preferred
  • Must be familiar with Part D Pharmacy Insurance Plans.
  • Must be able to maintain information in a confidential manner
  • Must have basic accounting abilities and ability to work with large numbers.
  • Must be able to follow outlined procedures as related to billing assigned payers and expectations set forth by Manager.

Visit for more information.
Background checks/drug-free workplace.
EOE.