Job Description

Job Description: PharmScript is one of the nation’s leading pharmacies, partnering with long-term and post- acute care facilities to supply medications to thousands of residents and patients. When you join the PharmScript family, you join the ranks of more than 1,700 dedicated people across the country who help to get safe, accurate, and timely medication to those who need it most.

We’re looking for a Revenue Cycle Client Liaison to join our PharmScript team within our Revenue Cycle Operations department. As a Revenue Cycle Client Liaison, the ideal candidate is responsible for workflow - submitting retro re billing claims to Medicare, Medicaid, and Private Insurances for reimbursement while performing other clerical duties as necessary.

The ideal candidate is a people person who enjoys troubleshooting and resolving problems and is dedicated to helping customers. For you, no task feels too small and no challenge impossible. Excellent communication and interpersonal skills are essential.

Key Responsibilities:

• Responsible for workflow- submitting retro re billing claims to Medicare, Medicaid, and Private Insurances for reimbursement both via electronic and hard copy methods in timely manner
• Responsible to communicate with facilities regarding all items that are non-covered by an insurance due to retro re billing that have covered alternatives and where allowed file prior 
• Responsible for working with nursing facilities/customer service representative to review charges related insurance

Qualifications:

• High school diploma or GED is required. 
• Must possess or be willing to apply for NJ Pharmacy Technician license 
• Previous experience working with Long-term care facilities preferred 
• Professional demeanor with excellent communication skills 
• Must have flexibility to work evenings/weekends (2nd / 3rd Shift)
• Knowledge of Medicare Part D, Medicaid, Medicaid HMO plans, & commercial insurances. 
• Familiarity with resolving Insurance rejections for prescriptions such as refill too soon, Prior Authorization and Non-Covered items.

Skills and Abilities:

• Able to identify and resolve issues quickly and efficiently
• Excellent communication, problem solving and organizational skills
• Comfortable working independently as well as in a diverse, team environment
• Able to work under pressure and meet deadlines
• Strong customer service skills
• Strong analytical problem solving and strategic thinking skills
• Excellent interpersonal skills
• Ability to work at a moderate speed 
• Moderate to advanced computer skills 
• Entry-level experience with Microsoft Office programs such as Word, Excel, and Outlook Detail oriented, excellent organizational skills

EEO Statement: PharmScript is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state or local law.

EO/Minorities/Females/Disabled/Veterans

Company Description

About PharmScript PharmScript is one of the nation’s leading pharmacies, partnering with long-term and post-acute care facilities to provide medications and supplies to more than 125,000 residents and patients. When you join the PharmScript family, you join the ranks of more than 1,700 dedicated associates across the country who ensure that medications reach those who need it most in a safe, accurate and timely manner. PharmScript is a place where you can grow, thrive, and launch your career. Join us and discover the difference you can make.