[Remote] Pharmacy Technician - Billing Adjudication

Note: The job is a remote job and is open to candidates in USA. Tarrytown Expocare Pharmacy is a long-term care pharmacy that specializes in providing care for individuals with intellectual and developmental disabilities. They are seeking a Certified Pharmacy Technician for their 3rd Party Billing Team to adjudicate insurance claims, manage notifications of insurance issues, and communicate with caregivers. Responsibilities • Adjudicate insurance claims and resolve rejections in multi-state environment • Properly handle order exceptions such as refill-too-soon, invalid orders, etc. • Working with prescribers to clarify prescriptions and obtain prior authorizations • Manage routine notification of insurance issues and communicate with caregivers • Stay updated on current Medicare/Medicaid policies and common insurance practices • Work with others to resolve common coverage issues or concerns. Skills • Working knowledge of Medicare Part D, Medicaid, Managed Medicaid • Minimum one year experience in a retail or long-term care pharmacy environment • 1+ year of recent experience with FrameworkLTC • Must have or be willing to obtain 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) • Comfortable making phone calls and can handle difficult conversations • Understands basic pharmacy language to interpret prescriptions • 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 • Available for occasional overtime Benefits • 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! Company Overview • Tarrytown Expocare Pharmacy is a long-term care pharmacy specializing in serving individuals with intellectual & developmental disabilities. It was founded in 2007, and is headquartered in Austin, Texas, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job