Medicare D Billing Specialist

To support the Clinical Hub, the full-time Medicare D Billing Specialist will maintain proactive communication with pharmacists, healthcare facilities, and Prescription Drug Plans, while managing prior authorization requests and researching payment denials remotely. Key responsibilities Act as a resource for facilities in obtaining necessary documentation and following up on outstanding claims Make outgoing calls to facilities, plans, and physician offices to secure approvals for prior authorizations Ensure accurate and timely completion of prior authorization forms and maintain thorough documentation throughout the process Required qualifications High School Diploma; Associates degree preferred, Bachelor's degree a plus Certified Pharmacy Technician or Medical Assistant Certification desired Experience in third-party medical billing Knowledge of EMAR systems and claim adjudication processes One to three years of pharmacy experience preferred, along with three years of call center experience