Requisition: 2024-146940 REVENUE CYCLE SUPPORT SPECIALIST Job Locations US-WA-VANCOUVER ID 2024-146940 Line of Business PharMerica Position Type Full-Time Pay Min USD $19.00/Hr. Pay Max USD $21.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica 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! The Revenue Cycle Support Specialist will be providing support of multiple Vancouver Billing Center departments and will assist as needed in certain front office activities. Schedule: Monday - Friday 9:00am to 5:30pm This is a remote position and applicants can reside anywhere within the Continental USA. Must be able to effectively work in the Pacific Time Zone. 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 The 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 contacts Follows up on all claims requiring prior authorization within four to five business days Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on Assists Billing Department with resolving unbilled claims at each month end close Advocates for clients as needed Support for Pharmacy Operations Adjudicates and resolution of claim rejections as needed Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis Other responsibilities as assigned Qualifications High School Diploma/General Education Diploma required Kentucky Pharmacy Technician License preferred Excellent customer service and communication skills, both written and verbal Ability to prioritize and meet pre-determined deadlines Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills Experience in healthcare billing environment (pharmacy preferred) Familiarization with on-line claims processing and Medicaid and Medicare billing practices Proficient with Microsoft Word & Excel required About our Line of Business PharMerica is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services