Showing posts with label FL 33351)--Industry Shows No Sign of Slowing Down. Show all posts
Showing posts with label FL 33351)--Industry Shows No Sign of Slowing Down. Show all posts

Wednesday, July 17, 2013

Job Opening: Experienced - Compounding Pharmacy Insurance Adjudication Specialist (Sunrise, FL 33351)--Industry Shows No Sign of Slowing Down


Experienced - Compounding Pharmacy Insurance Adjudication Specialist

COMPANY CONFIDENTIAL - SUNRISE, FL

This position is a full time position working 30+ hours per week in a non-retail environment. Current working schedule is Monday - Friday 8:30am to 6pm
(Saturday rotation may be necessary in the future.)

We are seeking an experienced and motivated insurance adjudication specialist to join our specialty compounding pharmacy. This position will require the candidate to possess unique pharmacy billing experience in a compounding pharmacy setting.

EDUCATION AND EXPERIENCE:

● 2+ years with direct (verifiable) Pharmacy Adjudication/Billing/Claim rejection resolution experience (MUST HAVE)
● State of Florida Pharmacy Technician Licensure in good standing a plus but not required
● High school diploma or equivalent
● Current QS1 NRX and PK Experience a plus
● Current Medicare and Third Party Insurance billing experience required.
● Must be able to fluently communicate both orally and written in English


QUALIFICATION REQUIREMENTS:

● Knowledge of the State of Florida compounding pharmacy billing law's
● Strong computer skills utilizing Microsoft Office Suite including Word and Excel
● Strong math skills are essential
● Strong oral, verbal, and neatly written communication skills
● Ability to work in a professional team-oriented environment
● Strong Customer Service / Patient focus
● Ability to multitask
● Annual training in HIPAA, OSHA, and pharmacy policies and procedures
● Flexible for schedule changes as position / business demands
● Ability to pass a required pre-hire drug screening and background check
● Exhibit punctuality and low absenteeism
● Must be capable of working at a computer for extended periods of time


ESSENTIAL POSITION DUTIES AND RESPONSIBILITIES:

● Works with the pharmacy management to set goals for the pharmacy
● Maintains good public relations, provides premier customer service and patient interaction
● Practices pharmacy billing in compliance with all federal, State Board of Pharmacy and local laws and regulations, as well as company policies
● Provides guidance to the entire pharmacy team on billing matters
● Runs the necessary reports that coincide with all pharmacy billing and prepare for submission
● Transmit claims electronically via online adjudication
● Check NDC's and Eligibility on patients at the request of pharmacy staff
● Post payments from electronic transmissions and manual submissions/resubmissions, when applicable.
● Ensures customer satisfaction, maintains a positive working relationships with clients and vendors
● Answers questions and provides information to pharmacy customers on billing matters
● Complies with all recordkeeping requirements as determined by management
● Contributes to team effort and is willing to be flexible to support dynamic needs of a small growing company
● Works in a team environment with professionals and non-professional staff members; must be self-motivated and take initiative; have technical ability, analytical ability, and decisive judgment
● Other duties as determined by management


If this is you please e-mail your cover letter and resume including salary requirements to the address link provided in either PDF, DOCX or DOC format.

All compounding billing experience must be verifiable from a licensed professional and/or written pre-hire examination.
  • Location: Sunrise, FL 33351
  • Principals only. Recruiters, please don't contact this job poster.
  • Please do not contact job poster about other services, products or commercial interests.