Job Description

Great New Career Opportunity in Long-Term Care Pharmacy!

Now Hiring – Experienced Professional to Manage Our 3rd Party Billing Team

Hours: Monday-Friday 8am-6pm, (8 hour shift)

TARRYTOWN EXPOCARE PHARMACY – We are a long-term care pharmacy that provides specialized care for individuals with intellectual and developmental disabilities throughout the United States. We originated as part of an independent retail pharmacy, Tarrytown Pharmacy, which has been serving the local community since 1941. Through our dedication to provide excellence to our customers, we have grown from a small independent pharmacy to a multi-state long-term care pharmacy solution.  If you are hardworking, dedicated and looking for a change in your career, we may have an opportunity for you!

WE ARE PROUD TO OFFER:

• Competitive compensation
• Comprehensive healthcare benefits
• 401(k) retirement plan
• Paid time off
• An awesome work environment
• Opportunities to advance and grow your career
• And More!

ROLES AND RESPONSIBILITIES:

• Manage the 3rd Party Billing team and processes
• Monitor major projects for timely competition and efficiency
• Establish daily communication (chat room) with insurance team with routine check-ins on current issues/progress.
• Host weekly call-ins to discuss upcoming projects, address team concerns, and promote healthy work environment
• Schedule routine one-on-one with members to discuss workload, process improvements, and provide occasional “progress” report – opportunities for growth
• Oversee employee schedules and PTO
• Assist insurance team with daily judgment calls, including write-offs, holding expensive medications, and complicated prior authorizations
• Address contracting/insurance concerns, general process improvements, and discuss upcoming projects/growth
• Monitor and coordinate any necessary rebills, “write off” situations, or various projects.
• Review insurance contract notifications (with rates or new policies)
• Monitor department email group and routine templates sent to facilities

REQUIRED SKILLS/ABILITIES:

• Working knowledge of Medicare Part D, Medicaid, Managed Medicaid

• Must possess a Texas 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)

• Is comfortable making phone calls and can handle difficult conversations

• Understands basic pharmacy language to interpret prescriptions

• Three (3) years’ experience in a retail or long-term care pharmacy environment

• Excellent problem solving abilities

• Ability to function well in a high-paced and, at times, stressful environment

• Team player who is willing to assist other departments when needed

• Communicate effectively with leadership and peers

PHYSICAL REQUIREMENTS:

• Must be able to withstand long hours of computer screen time
• Repetitive motion deskwork

Job Type: Full-time

Compensation: based on experience