Overview

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. We’re a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor’s Top 100 Best Companies to Work. If you’re looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Trilogy. 

Responsibilities

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 divison. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.

Qualifications

Hours : First Shift (9:00 AM - 5:00 PM)

Job SummaryProcesses and ensures the accuracy and timely issuance of invoices to customers. Provides health careprofessionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP’s) and Third-PartyInsurances.

Roles and Responsibilities• 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.

QualificationsEducation: High School / GEDExperience: 1-3 years

Licenses and CertificationsCertified Pharmacy Tech preferred

Physical Requirements

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