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Elderwood/Pediatric/PostAcute/Woodmark Pharmacy Biller in Waltham, Massachusetts

Will be evaluated based on prior experience.

Woodmark Pharmacy Billing is seeking a FT Days M-F Pharmacy Billing LTC Specialist to join our GROWING COMPANY! Great Opportunity for a Pharmacy Technician to advance their career! Experience could also include Pharmacy Billing, Medical Billing, and/or Long-Term Care Billing.

Are you looking to take the next step in your career?

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

  • 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)

Base wages increase with experience!

USD $23.00/Hr.

USD $28.00/Hr.

  • 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

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 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 exemption from vaccination.

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.

Requisition ID: 2023-26165

Street: 69 Hickory Drive

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