Description
Our Company
PharMerica
Overview
Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
We offer:
DailyPay
Flexible schedules
Competitive pay
Shift differential
Health, dental, vision and life insurance benefits
Company paid STD and LTD
Tuition Assistance
Employee Discount Program
401k
Paid-time off
Tuition reimbursement
Non-retail/Closed-door environment
Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!
Responsibilities
* Training inclusive auditing for accuracy of claim processing and working with team on training documents• Third Party Claims processing and payer subject matter expert• Provide support to 3rd Party Claims Specialist I answering operational questions• Support supervisory team by monitoring 3rd party at risk revenue • Support supervisory team with managing work queue• Review/resolve elevated issues • Complete quality assessment review of staff transactions• Work as a team to identify, document, communicate and resolve payer/billing trends and issues• Provide feedback to supervisor on staff performance• Prepares and maintains reports and records for processing. • Back up support for all operational functions of team including but not limited to research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines.• Review and code revenue adjustments and/or write offs for management review and approval• Establish payer relationships to support operations• Performs other tasks as assigned.• Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Qualifications
Education/Learning Experience• Required: High School Diploma or GED• Desired: Associate's or Bachelor's Degree
Work Experience• Required: Customer Service. Up to 2 years of related experience• Desired: Pharmacy Technician experience. Leadership
Skills/Knowledge• Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast paced environment. Basic math aptitude. Microsoft Office Suite • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters. Framework LTC or similar platform.
About our Line of Business
PharMerica is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies. PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about PharMerica, please visit . Follow us on Facebook, Twitter, and LinkedIn.
Additional Job Information
We offer a range of benefits to full-time employees to include medical, dental, vision, health care and dependent care flexible spending accounts, life, disability, paid time off, holiday, 401(k) Retirement Savings Plan, voluntary benefits, employee discounts and tuition reimbursement. Part-time employees are eligible for company paid sick leave and can participate in the 401(k) Retirement Savings Plan, dental, vision and a number of voluntary benefit offerings.
Pay Min
Pay Max
