AmeriPharma
Pharmacy Biller Position
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharma's Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Duties & Responsibilities Are you an experienced pharmacy biller with a background in retail, LTC, or independent pharmacy billing? AmeriPharma MedBox, an industry-leading long-term care at-home pharmacy service, is currently seeking a Pharmacy Biller to join our team in Laguna Hills, CA. In this role, you will play a vital part in supporting our MedBox program by ensuring the accurate and timely billing of multi-dose packaged prescriptions. You'll work directly with Pharmacy Benefit Managers (PBMs), manage claim adjudication, handle prior authorizations, and resolve billing discrepanciesall while maintaining exceptional patient communication and customer service standards. This is a full-time, on-site position, ideal for someone with hands-on experience in pharmacy claims billing, who thrives in a fast-paced environment and is eager to contribute to a tech-enabled, patient-centered pharmacy solution. Schedule Details Location: On-site
Laguna Hills, CA (Office borders Irvine) Hours: Monday
Friday, 8:30 AM
5:00 PM Duties and Responsibilities Process and rebill NDCs to ensure accurate claim submission Perform electronic claim adjudication and resolve rejections Communicate with insurance companies to address billing issues and obtain overrides Manage prior authorizations and coordinate with healthcare providers Engage with patients regarding insurance-related issues, providing clear and timely resolutions Ensure compliance with Medicare Part D, Medicaid, and commercial payer guidelines Required Skills & Qualifications Highly organized with strong attention to detail Proven ability to prioritize, multitask, and work independently Education & Experience Requirements High School Diploma or equivalent (required) Minimum 3 years of experience in a retail, LTC, or independent pharmacy setting Minimum 2 years of experience in pharmacy billing Familiarity with NCPDP standards, PBMs, and claim processing Excellent verbal and written communication skills Preferred: Licensed/Registered Pharmacy Technician AmeriPharma's Mission Statement Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care! Physical Requirements The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations. EEO Statement The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves. AmeriPharma's Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Duties & Responsibilities Are you an experienced pharmacy biller with a background in retail, LTC, or independent pharmacy billing? AmeriPharma MedBox, an industry-leading long-term care at-home pharmacy service, is currently seeking a Pharmacy Biller to join our team in Laguna Hills, CA. In this role, you will play a vital part in supporting our MedBox program by ensuring the accurate and timely billing of multi-dose packaged prescriptions. You'll work directly with Pharmacy Benefit Managers (PBMs), manage claim adjudication, handle prior authorizations, and resolve billing discrepanciesall while maintaining exceptional patient communication and customer service standards. This is a full-time, on-site position, ideal for someone with hands-on experience in pharmacy claims billing, who thrives in a fast-paced environment and is eager to contribute to a tech-enabled, patient-centered pharmacy solution. Schedule Details Location: On-site
Laguna Hills, CA (Office borders Irvine) Hours: Monday
Friday, 8:30 AM
5:00 PM Duties and Responsibilities Process and rebill NDCs to ensure accurate claim submission Perform electronic claim adjudication and resolve rejections Communicate with insurance companies to address billing issues and obtain overrides Manage prior authorizations and coordinate with healthcare providers Engage with patients regarding insurance-related issues, providing clear and timely resolutions Ensure compliance with Medicare Part D, Medicaid, and commercial payer guidelines Required Skills & Qualifications Highly organized with strong attention to detail Proven ability to prioritize, multitask, and work independently Education & Experience Requirements High School Diploma or equivalent (required) Minimum 3 years of experience in a retail, LTC, or independent pharmacy setting Minimum 2 years of experience in pharmacy billing Familiarity with NCPDP standards, PBMs, and claim processing Excellent verbal and written communication skills Preferred: Licensed/Registered Pharmacy Technician AmeriPharma's Mission Statement Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care! Physical Requirements The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations. EEO Statement The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.