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Prior authorization and third-party billing knowledge preferred. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances.
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Pharmacy Billing Specialist page is loaded. Pharmacy Billing Specialist. Guardian Pharmacy Services is one of the largest and most innovative long-term care pharmacy companies in the U.S. Operating across 43 locations serving 33 states, we are proud to be recognized as one of Georgia’s Fastest Growing Privately Held Companies.
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Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Guardian Pharmacy of Northwest Florida is part of the Guardian Pharmacy Services network and prides itself on its customer service.
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Guardian Pharmacy of Indianapolis LTC, LLC. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related. This includes assisting with all daily and month-end billing functions, procedures and reporting.
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This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions. Accurately enters and/or updates patient/insurance information into billing system.
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Assists in the billing, claims, collections, and accounts payable processes as assigned. Communicate and establish good relationships with facilities to obtain information as needed to assist with billing, patient set-up, and collections.
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Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Southern Pharmacy Services is part of the Guardian Pharmacy Services network and prides itself on its customer service.
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Saliba's Extended Care Pharmacy is part of the Guardian Pharmacy Services network and prides itself on its customer service. Requires desk work in office environment. Responsible for processing customer bills and insurance claims in an accurate and timely manner.
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Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed.
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East Tennessee Pharmacy Services is part of the Guardian Pharmacy network and prides itself on its customer service. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
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Guardian Pharmacy of Missouri is part of the Guardian Pharmacy Services network and prides itself on its customer service. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific.
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Full-Time employees working 30+ hours per week are eligible to enroll in our comprehensive benefits package, which includes medical, dental, vision, short and long-term disability, life and supplemental life insurance, and PTO.
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Preferred Care Pharmaceutical Services is part of the Guardian Pharmacy Services network and prides itself on its customer service. Research, identify and organize requested audit documentation in timely manner.
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Make corrections as needed and rebill claims as necessary. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance.
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Guardian Pharmacy of Minnesota is part of the Guardian Pharmacy Services network and prides itself on its customer service. Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements.
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billing specialist jobs Title: specialist Company: Guardian Pharmacy
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