Pharmacy Billing Office Manager

Company: Elderwood - Pediatric Specialty Care - Woodmark Ph
Location: Buffalo
Posted on: March 19, 2023

Job Description:

Overview:Woodmark Pharmacy Billing in Williamsville, NY is seeking a Pharmacy Billing Office Manager to join our team! Great Opportunity for someone with Long Term Care Pharmacy or Healthcare Management experience to advance their career!Our Excellent, Competitive Compensation, and a Full Benefit Package includes:Competitive wages and opportunities for advancementMedical, Dental, Vision InsuranceLife insurance401(k) with matchingGenerous Paid Time OffShift: M-F 8am-4pm; Extended hours, occasional night shift, week-end and/or travel may be requiredJoin Our Team: Are you looking to take the next step in your career? Employee Perks!: 401K Retirement Plan with Company Match, Free On-Site Parking, Friendly and supportive staff, Generous PTO & holiday package, Life Insurance, Medical, Dental, and Vision insurance Responsibilities:Oversees daily operations of pharmacy billing office that bills for LTC, ALF, IL and ADH facilities in NY, MA, RI and CT.Direct reports - Billing Specialists; daily supervision of staffScheduling and payroll.Ensure training of new staff. Update Billing process directions as neededAllocate Staffing assignments/resources where needed to meet time line requirements.Manage daily, weekly monthly task are performed timely /correctlySolid working knowledge of Facility, Medicaid and Third Party/Insurance billing,Create Third Party and Unit Dose composite billing daily.Create Customer billing month end invoices.Bi-weekly & month end Preliminary Verification report reviews produced by Billing SpecialistsReview & Process Private Pay refundsReview & Process Adjustments and Write offs for close.Review monthly unbilled report, Medicaid Billing over 120 re-BillsBack up Pharmacy charges in system and paid by A/PEnsure Billing Best Practices are followed for each type of billing: Per Diem, Split Billing, Cycle Batches and Standardized Billing by Billing SpecialistsCoordinate Close - Time line with Staff and Pharmacy OperationsPayor Code verification - Every 3 Months with SNF CustomersThird Party Audits-Cover when neededEtastic Software - Private Statement uploadsInvolved with new customer GoToMeeting Billing Introduction.Work with Revenue Cycle Manager, Pharmacy Operations and Pharmacy Accounting Team.Knowledgeable of applicable laws and regulations; ability to effectively manage issues to limit legal liability; make proactive recommendations by using judgment that is consistent with standards, policies, procedures.Projects as neededCustomer Service orientated (external and internal)From: USD $55,000.00/Yr. Up to: USD $65,000.00/Yr. Qualifications:10 years Long Term Care pharmacy billing or 5 years healthcare management experience.Excellent Customer Service and Phone Skills requiredSage (ACCPAC), NET Rx and Framework LTC software experience preferredMicrosoft Office proficiency (Excel, Work and Outlook)Excellent organizational and time management skillsSelf-motivated with ability to effectively solve problemsWoodmark Pharmacy expects all current and new employees to be vaccinated against COVID-19. If hired, you will be required to provide proof of vaccination. Employees may request a medical or religious exemption from vaccination.Woodmark Pharmacy expects all current and new employees to be vaccinated against COVID-19. If hired, you will be required to provide proof of vaccination. Employees may request a medical or religious exemption from vaccination.

Keywords: Elderwood - Pediatric Specialty Care - Woodmark Ph, Buffalo , Pharmacy Billing Office Manager, Executive , Buffalo, New York