Position Details
About this role
This role involves managing billing processes for long-term care pharmacy services, ensuring compliance with Medicare, Medicaid, and third-party payers, and leading process improvements.
Key Responsibilities
- Data entry of patient information
- Prescription claim processing and adjudication
- Manage Medicare and Medicaid billing
- Organize documents for audits
- Lead billing process improvements
Technical Overview
Utilizes PointClickCare, Sage, and revenue cycle management techniques to process claims, perform data entry, and organize insurance audits.
Ideal Candidate
The ideal candidate is a mid-level LTC pharmacy billing professional with at least 3 years of experience, proficient in Medicare and Medicaid billing, and familiar with PointClickCare and revenue cycle management.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Certifications
Required
Industry & Role
Keywords for Your Resume
Deal Breakers
Less than 3 years LTC pharmacy billing experience, No experience with Medicare or Medicaid billing, Lack of PTCB Pharmacy Technician certification, No experience with PointClickCare
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