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Pharmacy Technician – Billing
Tarrytown Expocare PharmacyCertified Pharmacy Technician - Billing adjudicating insurance claims in a remote role for Tarrytown Expocare Pharmacy. Responsible for managing order exceptions and communicating with caregivers about insurance.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Benefits
Comp & perks- Competitive compensation
- Comprehensive healthcare benefits
- 401(k) retirement plan
- Paid time off
- An awesome work environment
- Opportunities to advance and grow your career
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
adjudicate insurance claimshandle order exceptionsprior authorizationsMedicare Part DMedicaidManaged MedicaidFrameworkLTCpharmacy languagetyping 50 wpm
Soft Skills
excellent phone skillsverbal communicationwritten communicationactive listeningcomfortable making phone callshandling difficult conversations
Certifications
TX State Board of Pharmacy Technician License