We’re Hiring!

“I honestly loved my time at the Medicine Shoppe. Amazing owners who treat the employees like family.”

“The Medicine Shoppe has given me so many opportunities to learn new tasks every day I go to work, to show leadership, experience multi-tasking on a new level, and importantly working together as team.”

These are just a few of the things people say about working for Medicine Shoppe Pharmacy where we have been Enabling Healthy Lives through Nimble Execution of Personalized Pharmacy Services for over 50 years. We strive to continue the tradition of community pharmacy with unwavering attention to personal retail service, long-term care, and institutionalized pharmacy.

Job Opening:

Billing Technician

Location:

1101 Parkway View Drive, Pittsburgh, PA 15205

Status:

Full-time

Work Schedule:

40 hours per week, Monday - Friday, scheduled between hours of 1:30pm to 10:00pm. Weekend shifts may be required on a rotating basis as needed.

As a Pharmacy Billing Technician you will be responsible for maintaining complete patient records and the accurate and timely adjudication of pharmacy claims with third-party payers to ensure receipt of payment for services rendered. Reports to the Pharmacy Technician Supervisor or Pharmacist Manager who is responsible for direct supervision of this position. Also has accountability to all other team members and co-workers to complete assigned tasks, to perform the duties required by the job, and to be present for their proper shifts in order to fulfill or further the goals of the company.

Duties and Responsibilities:

• Prepares and submits clean claims to various commercial insurance companies, Hospice, Medicare, and Medicaid; apply copay, deductible, and unpaid medications charges to patient private pay accounts
• Identifies, researches, and resolves patient billing issues
• Contact insurance carriers to make inquiries regarding claim denials, resubmits, and client coverage
• Manages rejected claims and coordinates solution with Facility when applicable
• Rebills insurance companies or other third parties to secure payment for Beneficiaries
• Ensure Prior Authorization process is completed to extent possible from pharmacy and communicated to physicians/facility
• Review census files from Long Term Care facilities on a weekly basis and reconcile any changes to patients’ status (e.g. bill-to location, admission, discharge, insurance) with electronic profile records
• Obtain necessary documentation from Long Term Care facilities or patients to correctly bill all pharmacy claims
• Update customer master file with notes regarding billing status

Enabling Healthy Lives through Nimble Execution of Personalized Pharmacy Services

We offer a comprehensive benefits package including medical, dental, vision, 401(k), life, disability, paid time off, paid holiday for full-time positions.

We are proud to be an Equal Opportunity Employer. To learn more our company, visit www.CareCapitalManagement.com.

About the People We Hire

Above all, we seek people who share our values. First, we share a commitment to own and execute our work with quality and care. We keep expectations realistic and engage in straightforward, honest communication. Finally we empower others to reach their potential and celebrate when we succeed through collective effort. If that describes you, then this is the place for you!

In addition to being organized, thorough, attentive to detail, an effective communicator, customer oriented, and highly accurate the successful candidate for this position must also have the following qualifications

• standing for periods of up to 8 hours
• lift and carry, with assistance, items weighing up to 50 pounds.
• High school diploma or equivalent
• Knowledge of Medicare and Medicaid billing procedures and regulations
• Knowledge of procedures for billing various payers such as commercial insurance and hospice
• Proficient in computerized pharmacy records system
• Preferred Education and Experience:
• Pharmacy technician certification issued by a state or national credentialing body
• Knowledge of prescription order entry procedures
• Certificate or diploma in postsecondary pharmacy technician program or equivalent combination of education and job experience

Prior to beginning work, successful applicants must complete a background check consisting of criminal records check, Medicare/Medicaid exclusions check, employment verification, education verification, drug test, licensure/certification verification, and DMV motor vehicle record check, as applicable.