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Pharmacy Billing Specialist

Company: Woodmark Pharmacy of New York
Location: Buffalo
Posted on: March 26, 2020

Job Description:


While you care for others, Join a company that cares about YOU! We are looking for Pharmacy Billing Specialists to join our growing team today!

Sundays 8a-4p and Mon-Thurs 1p-9p

For over 20 years, Woodmark Pharmacy has delivered comprehensive, cost-effective pharmacy services to long-term care facilities, senior living communities and other public health organizations in the greater northeastern U.S.

Our Excellent, Competitive Compensation, and a Full Benefit Package includes:

Competitive wages and opportunities for advancement

Medical, Dental, Vision Insurance

Life insurance

401(k) with matching

Generous Paid Time Off

Great Opportunity for a Pharmacy Technician to advance their career! Experience could also include Pharmacy Billing, Medical Billing, and/or Long-Term Care Billing.

The shift is:

Sundays 8a-4p and Mon-Thurs 1p-9p


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

* Skilled Nursing Facility, Assisted Living Facility and Private pay claim billing

* Troubleshoot rejected insurance claims resulting in payments

* Prior Authorizations required from Third Party Insurance

* Bill/Invoice Review

* Medicaid Pending Status Review

* Updated Skilled Nursing Facility Census and Resident Payer Status

* Process Private Pay refunds

* Collections on accounts

* Daily cash deposit and posting

* Third Party (835) downloading of remits into system

* Process Credits/Returns

* Projects as needed

* Customer Service orientated (external and internal)


* 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.

* Excellent Customer Service and Phone Skills required

* Collections experience preferred

* Sage (ACCPAC), NET Rx and Framework LTC software experience preferred

* Microsoft Office proficiency (Excel, Work and Outlook)

* Excellent organizational and time management skills

* Self-motivated with ability to effectively solve problems


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.

Keywords: Woodmark Pharmacy of New York, Buffalo , Pharmacy Billing Specialist, Accounting, Auditing , Buffalo, New York

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