Pharmacy Technician – Billing Specialist

Description

• Establishing pharmacy contracts with third party payers as needed.
• Assisting pharmacy manager with development and implementation of Therapeutic Interchange processes.
• Generating and transmitting refill reports monthly.
• Keeping procedures up-to-date in pharmacy tech manual to train new personnel and to have quick reference to specific jobs so they are performed according to the policies of the department.
• Demonstrating competence in the area of regulatory compliance and ensures that the property stays in regulatory compliance with all regulatory agencies
• Attending and participating in pharmacy tech meetings to exchange ideas to achieve goals of the department.
• Electronic billing of private pay, Medicare, Medicaid, and Third Party claims utilizing pharmacy software.
• Performing duties assigned by a licensed pharmacist. Areas of work are checked routinely for maintenance of quality control. Work is conducted in accordance with generally accepted standards of practice following departmental procedures and policies as outlined in the department operations manual.
• Processing credit card transactions for charge accounts monthly.
• Managing Prior Authorizations required from Third Party Insurance.
• Reading and interpreting physicians’ orders received in the pharmacy and transcribing the information into the pharmacy computer medication profile. Requires knowledge to adjust dosing times as pharmacy will generate MARs; prepare unit doses; and labels individual patient medications for dispensing to the nursing unit.
• Assisting pharmacy staff with checking in orders, putting orders away and filing associated paperwork as needed.
• Managing electronic claims log for rejected claims and supervising scheduled claims daily.
• Following company policy on billing and auditing procedures.
• Must exhibit and promote a high level of customer service, hospitality, curiosity and friendliness towards all residents, visitors, employees and the overall facility.
• Generating reports from NetRx and QS/1 and presents finding to Pharmacy Manager.
• Ensuring accuracy of adjudicated claims by establishing and maintaining auditing procedures.
• Following up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations.
• While performing the duties of this job, the employee is occasionally required to stand/move, communicate, and identify written information.The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl and lift and/or move up to 50 pounds independently; occasionally lift and/or move up to 200 pounds with assistance.

Requirements

• Must have the ability to remain calm in stressful situations, to be flexible, to work well with many interruptions and have skill in multi-tasking.
• Active and undisciplined Pharmacy Technician Registration in the State of Illinois
• Possess the technical skills and abilities to perform and provide top notch service.
• Great communication and interpersonal skills required along with the heart and passion to work with older adults while providing the best care possible.
• Be able to demonstrate proficiency in Internet browsers (e.g., Explorer, Chrome, and Fire Fox), Microsoft Office programs including Outlook, Excel, Word and Publisher, electronic health records (EHR) systems, and any HR related systems if applicable.
• Medicine Express considers the health and safety of its customers, family members, and team members as its highest priorities. All offers of employment are conditioned on completing and passing a background and drug test, encouraged to participate in COVID-19 vaccine program, participating in testing requirements (COVID-19 and TB), and using designated PPE when required.
• Thoroughness & detail oriented
• Must be willing/able to work on site in rotating shifts which include weekends and holidays, and work during inclement weather will be required.
• Associate degree or degree from technical program, OR High school diploma and 1-2 years of experience as a Pharmacy Technician, or equivalent.
• Certificate from pharmacy technical training program, junior college graduate or State certification as Pharmacy Technician preferred.

Benefits

• Continuing education by attending drug in-services and keeping up with policy changes.
• Medicine Express believes that its team is its greatest asset. For this reason, we provide our team members with extensive training, personal and career development opportunities, and flexible schedules
• Medicine Express offers wages on-demand which allows you to access your earned wages before your payday.
• Medicine Express offers a competitive benefits package including medical insurance coverage, life insurance, long-term disability coverage and a 401(k) Plan with company match (after 1 year of service).

Training + Development

Interview process

Visa Sponsorship

Security clearance