Pharmacy Technician- Billing Specialist

Duties and 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.

Requirements
Required Skills/Abilities:

Working knowledge of Medicare Part D, Medicaid, Managed Medicaid in Texas
Minimum one year experience in a retail or long-term care pharmacy environment
1+ year of recent experience with FrameworkLTC
Must possess a TX 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

Preferred Skills/Abilities

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

Physical Requirements:

Must be able to withstand long hours of computer screen time
Repetitive motion desk work