Pharmacy Billing Associate

Overview

Are you compassionately committed to customer service? If so, we would like to hear from you! Synchrony Pharmacy, a subsidiary of Trilogy Health Services LLC, is seeking a Pharmacy Billing Associate for the Pharmacy division. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.

Job Summary
Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances.

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.
• Address any discrepancies in coverage and communicate with patients or facilities when needed.
• Request prior authorization on drugs that are denied for prior authorization.
• Notify facilities of changes and exceptions when appropriate.
• Other duties as assigned.

Education: High School / GED
Experience: 1-3 years

Certified Pharmacy Tech preferred

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

US-KY-Louisville
Synchrony Home Office
2701 Chestnut Station Court
Louisville
KY

Lauren J.

Careers close to home and your heart
Since our founding in 1997, we’ve been making long-term care better for our residents and more rewarding for our team members. Trilogy is proud to be an equal opportunity employer committed to diversity and inclusion in the workplace.

As one of Fortune’s Best Places to Work in Aging Services, a certified Great Place to Work, and a Glassdoor Top 100 Best Companies to Work For, Trilogy is committed to helping you reach your full potential. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.