Pharmacy Billing Specialist Job at Medwiz Solutions, LLC
MedWiz Pharmacy of New Jersey is a leading provider of long-term care services. We are actively seeking people like you- passionate, highly skilled and motivated to make a difference!
Join the MedWiz of New Jersey Pharmacy team as a Billing Pharmacy Specialist, where you will provide outstanding Customer Service to our facilities.
We offer a competitive salary and benefit package.
Billing Pharmacy Specialist Responsibilities
- Perform duties assigned by the Billing Supervisor.
- Research and establish patient eligibility coverage with insurance providers (state and private)
- Determine and process insurance rejections in accordance to the daily report.
- Maintain and update patient billing and insurance information in the system.
- Submit prior authorizations for State insurance.
- Interact with insurance company on daily basis in regard to overrides, rejections and insurance updates.
- Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM when necessary.
- Follow up and resolved pending billing issues.
Billing Pharmacy Specialist Requirements
- Must be a pharmacy certified technician
- H.S. diploma or equivalent
- Courteous and polite phone skills
- Computer literate
- Previous experience in Retail pharmacy a must
- Experience in Long Term Care Pharmacy (Preferred)
- Must be able to work independently and as a team
- Ability to multitask and work in a fast-paced environment a must
- Experience in New Jersey Pharmacy billing claims (Preferred)
- Frameworks/ECM knowledge a plus
- Must be detail oriented
Job Type: Full-time
Pay: $13.20 - $24.43 per hour
Benefits:
- Health insurance
Schedule:
- 8 hour shift
Work Location: One location
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