Medicare B Specialist
Job Location:
Louisville, KY - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
PharMerica
PharMerica a part of Brightspring Health Services is a longterm care pharmacy services provider that supplies medications clinical support and pharmacy management to healthcare organizations across the United States.
The Medicare B Specialist will be responsible for research billing collections and/or resolution of an assigned account portfolio in accordance with PharMericas policies.
The position requires a high level of attention to detail when initiating processing and tracking prior authorizations on behalf of customers. Working closely with EMAR systems healthcare facilities and clinical teams the Medicare D Biller serves as a key point of contact throughout the prior authorization process ensuring efficient coordination thorough documentation and successful resolution of authorization requests.
The ideal candiate will be a Certified Pharmacy Technician (desired) and have two years billing and/or collections experience; Medicare B preferred
Remote: May reside anywhere with the Continental USA.
Schedule: Monday - Friday 8:00am - 4:30pm eastern time zone
Benefits and perks for You!
- Medical Dental Vision insurance
- Health Savings & Flexible Spending Accounts (up to $5000 for childcare)
- Tuition discounts & reimbursement
- 401(k)
- Company Paid Time Off*
- Shift Differential
- DailyPay
- Pet Insurance
- Employee wellness and discount programs
- Conducts job responsibilities in accordance with the standards set out in the Companys Code of Business Conduct and Ethics policies and procedures Corporate Compliance Agreement applicable federal and state laws and professional standards
- Investigates Medicare B eligibility such as diagnosis place of service and medication for payment
- Prepares assignment of benefits written orders and obtains signatures from responsible parties
- Collects refill requests and dated manifest for each dispense
- Transmits electronic claim to Medicare B and after primary payment is received prepares claim for secondary payer when applicable
- Responds to Medicare payer audits
- Maintains a thorough knowledge of Medicare coverage criteria billing coding and documentation requirements
- High School Diploma or GED; Associate degree desired
- Two years billing and/or collections experience; Medicare B preferred
- Familiarity with standard concepts practices and procedures with discipline
- Certified Pharmacy Technician
- Strong analytical communication and interpersonal skills
Required Experience:
IC
About Company
BrightSpring Health Services is a leading provider of comprehensive home and community-based health services to complex populations.
