Pharmacy Billing Coordinator II

Responsibilities

The Pharmacy Billing Coordinator II is responsible for the accurate and timely adjudication of all prescriptions, onsite training of new hires as needed, and the maintenance of the pharmacy unbilled as well as performing other clerical duties as assigned. Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans Daily, weekly, and monthly review and resolution of unbilled claims Review monthly billing statements for facilities to ensure billing accuracy Claim research and resolution Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment Advocate for clients as needed Communicate with insurance companies as needed Support for Pharmacy Operations Utilize Framework, Docutrack, and Fusion in order to complete workflow on daily basis Provide onsite training for new hires Assist Implementation Coordinator with integration of new facilities/clients as needed Handle core billing responsibilities with newly gained contracted facilities onboarding with Pharmacy Alternatives Maintain and update the Billing Training Manual Perform other responsibilities as assigned

Qualifications

High School Diploma/GED required Pharmacy Tech License preferred Excellent customer service and communication skills, both written and verbal Ability to prioritize and meet pre-determined deadlines Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills Experience in healthcare billing environment (pharmacy preferred) Familiarization with online claims processing and Medicaid and Medicare billing practices Proficient with Microsoft Word and Excel required If a current PAL employee, you must: Have 1+ year(s) of billing experience as PAL Core Billing Coordinator Adhere to Pharmacy Alternatives, LLC attendance policy Excel and adhere to core Pharmacy Alternative billing responsibilities Not be on any form of Performance Improvement/Corrective Action Plan About our Line of Business PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.