Note: The job is a remote job and is open to candidates in USA. Tarrytown Expocare Pharmacy is a long-term care pharmacy that specializes in providing care for individuals with intellectual and developmental disabilities. They are seeking a Certified Pharmacy Technician for their 3rd Party Billing Team to adjudicate insurance claims, manage notifications of insurance issues, and communicate with caregivers.
Responsibilities
• Adjudicate insurance claims and resolve rejections in multi-state environment
• Properly handle order exceptions such as refill-too-soon, invalid orders, etc.
• Working with prescribers to clarify prescriptions and obtain prior authorizations
• Manage routine notification of insurance issues and communicate with caregivers
• Stay updated on current Medicare/Medicaid policies and common insurance practices
• Work with others to resolve common coverage issues or concerns.
Skills
• Working knowledge of Medicare Part D, Medicaid, Managed Medicaid
• Minimum one year experience in a retail or long-term care pharmacy environment
• 1+ year of recent experience with FrameworkLTC
• Must have or be willing to obtain Texas State Board of Pharmacy Technician License
• Type an average of 50 wpm
• Excellent phone skills, verbal and written communication skills and active listening
• Proficient with Microsoft Office Suite or related software (Outlook, Excel)
• Comfortable making phone calls and can handle difficult conversations
• Understands basic pharmacy language to interpret prescriptions
• 3+ years’ experience in a retail or long-term care pharmacy environment
• Excellent problem-solving abilities
• Ability to function well in a high-paced and, at times, stressful environment
• Team player who is willing to assist other departments when needed
• Communicate effectively with leadership and peers
• Available for occasional overtime
Benefits
• Competitive compensation
• Comprehensive healthcare benefits
• 401(k) retirement plan
• Paid time off
• An awesome work environment
• Opportunities to advance and grow your career
• And More!
Company Overview
• Tarrytown Expocare Pharmacy is a long-term care pharmacy specializing in serving individuals with intellectual & developmental disabilities. It was founded in 2007, and is headquartered in Austin, Texas, USA, with a workforce of 501-1000 employees. Its website is https://tarrytownexpocare.com/.
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