Pharmacy Billing Associate

Pharmacy Billing Associate at Synchrony Pharmacy (Synchrony Home Office, Louisville, KY)

Process and ensure the accuracy and timely issuance of invoices to customers, assisting health care professionals with Medicare, Medicaid, Prescription Drug Plans (PDP’s), and Third-Party Insurances.

Shift: 11:00 AM - 7:30 PM

• Generate and submit claims to insurance providers.
• Verify the accuracy of prescription orders, patient information, and insurance details before billing.
• Monitor claim status and follow up on rejected or denied claims.
• Address billing inquiries, resolve disputes, and provide exceptional customer service.
• Investigate and resolve billing discrepancies and issues with insurance claims.
• Collaborate with the pharmacy team to resolve complex billing-related problems.
• Ensure compliance with all billing guidelines and regulations.
• Verify patient insurance coverage, eligibility, and benefits.
• Request prior authorization for drugs denied for prior authorization.
• Notify facilities of changes and exceptions when appropriate.
• Other duties as assigned.

• High School / GED
• 1-3 years of experience

• Certified Pharmacy Tech preferred

Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

Synchrony Pharmacy is an equal opportunity employer. For this type of employment, state law requires a criminal record check as a condition of employment.