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Pharmacy Billing Office Manager

Company: Woodmark Pharmacy of New York
Location: Tonawanda
Posted on: September 10, 2021

Job Description:

Join Our Team: Are you looking to take the next step in your career? 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 advancement

Medical, Dental, Vision Insurance

Life insurance

401(k) with matching

Generous Paid Time Off

 

Shift: M-F 8am-4pm; Extended hours, occasional night shift, week-end and/or travel may be required

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 staff
  • Scheduling and payroll.
  • Ensure training of new staff. Update Billing process directions as needed
  • Allocate Staffing assignments/resources where needed to meet time line requirements.
  • Manage daily, weekly monthly tasks to ensure they are performed timely /correctly
  • Solid 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 Specialists
  • Review & Process Private Pay refunds
  • Review & Process Adjustments and Write offs for close.
  • Review monthly unbilled report, Medicaid Billing over 120 re-Bills
  • Back up Pharmacy charges in system and paid by A/P
  • Ensure Billing Best Practices are followed for each type of billing: Per Diem, Split Billing, Cycle Batches and Standardized Billing by Billing Specialists
  • Coordinate Close — Time line with Staff and Pharmacy Operations
  • Payor Code verification — Every 3 Months with SNF Customers
  • Third Party Audits-Cover when needed
  • Etastic Software — Private Statement uploads
  • Involved 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 needed
  • Customer Service orientated (external and internal)
Qualifications:
  • 10 years Long Term Care pharmacy billing or 5 years healthcare management experience.
  • Excellent Customer Service and Phone Skills required
  • 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.

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

Keywords: Woodmark Pharmacy of New York, Tonawanda , Pharmacy Billing Office Manager, Other , Tonawanda, New York

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