Our Company

　　PharMerica

　　Overview

　　Join our PharMerica team! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh growth mode, which meansadvancement opportunitiesfor individuals who are looking for career progression!

　　Schedule:

　　Mon-Sat; with a day off during the week-- this role is on-site in Hilo, Hawaii

　　Pay Rate:

　　$17-19/HR

　　We offer:

　　DailyPay

　　Flexible schedules

　　Competitive pay

　　Shift differential

　　Health, dental, vision and life insurance benefits

　　Company paid STD and LTD

　　Tuition Assistance

　　Employee Discount Program

　　401k

　　Paid-time off

　　Tuition reimbursement

　　Non-retail/Closed-door environment

　　Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!

　　Responsibilities

　　TheClaims Specialist - 3rd Party:

　　Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks

　　Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines

　　Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement

　　Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes

　　Works as a team to identify, document, communicate and resolve payer/billing trends and issues

　　Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans

　　Prepares and maintains reports and records for processing

　　Performs other tasks as assigned

　　Qualifications

　　Education/Learning Experience:

　　Required: High School Diploma or GED

　　Desired: Associate’s or Bachelor’s Degree

　　Work Experience:

　　Required: Customer Service

　　Desired: Up to one year of related experience. Pharmacy Technician experience

　　Skills/Knowledge:

　　Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite

　　Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

　　Licenses/Certifications:

　　Desired: Pharmacy technician, but not requiredAbout our Line of Business

　　PharMerica is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies. PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about PharMerica, please visit www.pharmerica.com. Follow us on Facebook (https://www.facebook.com/PharMericaCorp/) , Twitter (https://twitter.com/PharMericaCorp/) , andLinkedIn (https://www.linkedin.com/company/pharmerica/) .

　　Additional Job Information

　　This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

　　Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

　　Salary Range

　　USD $19.00 / Hour

　　Need help finding the right job?

　　We can recommend jobs specifically for you!

　　ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at [email protected] .

　　Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.

　　Job LocationsUS-HI-HONOLULU

　　ID 2024-134298

　　Line of Business PharMerica

　　Position Type Full-Time

　　Pay Min USD $19.00/Hr.

　　Pay Max USD $19.00/Hr.