• Pharmacy Billing Specialist

    Elderwood (Buffalo, NY)


    Salary

     

    Starting at $18.00 / hour

     

    Overview

     

    Woodmark Pharmacy of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our residents and their families. This position isFull Timeon-site!

    Benefits of working at Woodmark of NY:

    + Full Benefits Package - Medical, Dental, Vision, Life

    + 401(k) with company match

    + Competitive Pay

    + Weekly Paycheck

    + Solid Team Atmosphere - position is on-site!

     

    Shift: Days - 8:00am - 4:00pm

     

    #Talroo

    Responsibilities

    + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system.

    + Skilled nursing facility, assisted living facility and private pay pharmacy claim billing

    + Troubleshoot rejected insurance claims resulting in payments

    + Prior Authorizations required from Third Party Insurance

    + Bill/Invoice Review

    + Medicaid Pending Status Review

    + Medicaid claim rebilling

    + Updated Skilled Nursing Facility Census and Resident Payer Status

    + Projects as needed

    + Customer Service orientated (external and internal)

     

    Base wages increase with experience!

    Qualifications

    + Associate's Degree or High School diploma (or GED) and 1-2 years medical billing/collections experience (Long Term Care Preferred) or Pharmacy Technician experience in retail, long term care or hospital.

    + Experience with Pharmacy claims and various types of pharmacy billing preferred

    + Excellent Customer Service and Phone Skills required

    + Collections experience preferred

    + Sage 300 and Framework LTC software experience preferred

    + Microsoft Office 365

    + Excellent organizational and time management skills

    + Self-motivated with ability to effectively solve problems

     

    This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.

     

    EOE Statement

     

    WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

     

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    Posted Date2 months ago(3/28/2025 2:18 PM)

     

    Requisition ID2025-32099

     

    # of Openings5

     

    Area of InterestPharmacy

     

    LocationWoodmark Pharmacy of New York

     

    Position TypeRegular Full-Time

     

    ShiftDays

     

    SalaryStarting at $18.00 / hour