Pharmacy Alternative TeamPharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression.Pharmacy Technician preferred.Schedule: Monday-Friday from 8:30am - 5pm Central Time.
This role is based out of Louisville, KY and after training, will become a hybrid schedule with time spent in the office as well as your home office.Hybrid Schedule: Home Office on Monday, Tuesday, Thursday, & Friday. On Site on Wednesdays. Applicants must live in or a commutable distance to Louisville.We offer:DailyPayFlexible schedulesCompetitive payShift differentialHealth, dental, vision and life insurance benefitsCompany paid STD and LTDTuition AssistanceEmployee Discount Program401kPaid-time offTuition reimbursementNon-retail/Closed-door environmentOur 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!ResponsibilitiesThe Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.Essential Job Responsibilities:Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contactsFollows up on all claims requiring prior authorization within four to five business daysTracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basisCompares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up onAssists Billing Department with resolving unbilled claims at each month end closeAdvocates for clients as neededSupport for Pharmacy OperationsAdjudicates and resolution of claim rejections as neededUtilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basisOther responsibilities as assignedQualificationsHigh School Diploma/General Education Diploma requiredKentucky Pharmacy Technician License preferredExcellent customer service and communication skills, both written and verbalAbility to prioritize and meet pre-determined deadlinesMust be able to effectively multi-task, be proficient at typing, and have advanced technical skillsExperience in healthcare billing environment (pharmacy preferred)Familiarization with on-line claims processing and Medicaid and Medicare billing practicesProficient with Microsoft Word & Excel requiredAbout Our Line of BusinessPharmacy Alternatives®, an affiliate of PharMerica, is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities (I/DD). Pharmacy Alternatives offers long-term pharmacy solutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living or foster care. PharMerica is one of the nation's largest pharmacy companies.
PharMerica offers unmatched company culture, employee development, and advancement opportunities.Salary RangeUSD $15.25 / Hour