Billing Pharmacy Technician – LTC

🔥 0 minutes ago

🌽 Illinois – Remote

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💵 $19 - $25 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

👻 Ghost score 0%

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Logo of Medication Management Partners

Medication Management Partners

51 - 200 employees

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Medication Management Partners is a pharmacy solution provider founded in 2010 that focuses exclusively on servicing assisted living and memory care communities. The company's mission is to improve the quality of life by simplifying pharmacy management using innovative technology and a rigorous screening process. With a specialized approach, Medication Management Partners is positioned to enhance care teams through efficient and scalable medication management processes.

📋 Description

• Perform correct profile entry, processing, and follow-up related to billing resident prescriptions • Communicate with community staff, residents, and/or POAs • Research, investigate, and stay current on different insurance providers • Advocate for residents while supporting the company’s revenue-generating billing function • Adjudicate insurance claims and troubleshoot rejected claims • Complete and follow up on prior authorization forms • Enter data into Framework LTC and Framework ECM systems • Provide prompt and professional customer service by phone, email, and pharmacy messages • Generate monthly statements, process and enter payments, and reconcile third-party claims • Analyze pre- and post-adjudication reports for training opportunities and compliance • Follow core processes and complete duties reliably on a regular, predictable basis

🎯 Requirements

• Understanding of Medicare Part D, Medicaid, and Commercial insurances • Experience adjudicating insurance claims and troubleshooting rejected claims • Experience completing and/or following up on prior authorization forms • Data entry into Framework LTC and Framework ECM systems • Customer service experience through phones, emails, and pharmacy messages • Experience generating monthly statements, processing and entering payments, and reconciling third-party claims • Ability to analyze pre- and post-adjudication reports for training opportunities and compliance • Ability to follow core processes • Ability to perform required duties on a regular, predictable basis • Minimum of one year pharmacy billing experience • 2+ years pharmacy technician experience • High Diploma or equivalent • Licensed and in good standing as an Illinois Pharmacy Technician • National Pharmacy Technician Certification (PTCB or NHA) • Basic knowledge of algebra and pharmaceutical math • Timely and accurate data entry skills • Excellent verbal and written communication skills • Professional demeanor and appearance with excellent customer service skills • Highly organized and attentive to detail • Able to multi-task and work under deadlines • Motivated, punctual, and reliable team member

🏖️ Benefits

• Fully remote work arrangement • Full-time employment • Rotating Saturday schedule • Opportunity to provide exemplary customer service and advocate for residents

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