Pharmacy Technician - Billing Adjudication

Great New Career Opportunity in Long-Term Care Pharmacy!

Now Hiring – Certified Pharmacy Technician for Our 3rd Party Billing Team

Location: Remote 

Hours: Monday-Friday 9am-5pm OR 10am-6pmEST

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!

Duties and 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.

Required Skills/Abilities:

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

Preferred Skills/Abilities

• 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

Physical Requirements:

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