Pharmacy Billing Exception Handler
Come join us and help make a difference in the world of long-term patient care! AlixaRx was founded in 2011 with a mission to transform medication management in long-term, post-acute and other healthcare settings.
We were born form a need to improve patient outcomes, reduce cost, and improve efficiencies. AlixaRx was developed through collective input from nurses, pharmacists, and physicians to provide safety, access, and savings to long-term and post-acute facilities.
With the use of proprietary dispensing technology and innovative clinical pharmacy services, AlixaRx services more than 20,000 patients across the nation.
Ability to manage, analyze, and reconcile billing and payment detail.
- Able to work under pressure, meet changing deadlines, and maintain orderly files.
- Must possess good written, verbal, telephone communication, and organizational skills.
- Basic understanding or Excel and Word
- Must be able to work well in a team environment.
- Familiar with operating a 10- key.
- Must be able to maintain confidentiality regarding patient and company proprietary information.
Must possess computer skills of the types and at a level necessary to accomplish the job.
ESSENTIAL JOB DUTIES
- Perform prescription claims adjudications for all pharmacy insurance programs
- Provide prescription price quotes to nursing centers and prescriber's representatives
- Process short orders and partial fill prescriptions billing from pharmacy production
- Manage refill-to-soon rejections process
- Process combine prescription billing (same drug with multiple doses)
- Process and manage prior authorization and non-covered prescription orders
- Handles prescription test claims
QUALIFICATIONS
- High School Diploma or equivalent
- Minimum 1-2 years of collections / customer service experience
- Healthcare collections a plus
- Must be capable of maintaining regular attendance
Full time employee's benefits include healthcare, 401k PTO plus other benefits.
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