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Prescott Pharmacy LTC
Billing Specialist
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Scorecard
Based on Massachusetts data
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What they do
A Billing Specialist performs administrative work at financial institutions and banks that handle bills, receipts, and invoices. Manages the status of client accounts and tracks financial records, charges, and receipts of the accounts.
$51,234 / year median in Massachusetts
+3% projected growth
Job Description
Billing Specialist Prescott Pharmacy
LTC - 1.5
Worcester, MA Job Details Full-time 21 hours ago Benefits Paid holidays Health insurance Dental insurance Paid time off 401(k) matching Qualifications Pharmacy Information Systems (PIS) Medicare Accounts receivable management Adjusting patient balances Medical claim appeals Medical billing compliance checks Mid-level Financial issue resolution Compliance management Records management Health insurance knowledge Medicare regulations Medical billing and coding communication with insurance companies LTC pharmacy experience Medical claims submission Medicaid Insurance provider collaboration Communication skills Medical claim status updates Full Job Description Billing Specialist - Long-Term Care Pharmacy Prescott Pharmacy LTC is seeking an experienced Full-Time Billing Specialist to join our team in Massachusetts. This is an in-person position for a detail-oriented professional who has experience with long-term care pharmacy billing and is committed to delivering accurate, timely billing services. Responsibilities- Submit and process pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans.
- Investigate and resolve claim rejections, denials, and billing discrepancies.
- Manage accounts receivable and follow up on outstanding claims.
- Process billing adjustments, credits, and rebills.
- Communicate with insurance companies, long-term care facilities, and pharmacy staff to resolve billing issues.
- Maintain accurate billing records and ensure compliance with federal and state regulations.
- Assist with month-end billing processes and other administrative duties as needed. Qualifications
- Previous experience in long-term care pharmacy billing is required.
- Experience using QS/1 PrimeCare pharmacy management software is preferred.
- Strong knowledge of Medicare Part D, Medicaid, and commercial insurance billing.
- Experience resolving insurance claim rejections and denials.
- Excellent organizational, communication, and problem-solving skills.
- Strong attention to detail and ability to work in a fast-paced environment.
- Ability to work independently and as part of a collaborative team. Benefits
- Competitive pay based on experience
- Health and dental insurance
- Paid time off and paid holidays
- 401(k) with company match (if applicable)
- Stable, full-time employment
- Opportunities for professional growth
- Supportive, team-oriented work environment If you are an experienced long-term care pharmacy-billing professional with QS/1 PrimeCare experience and are looking to join a growing pharmacy team, we encourage you to apply today.