Our Company PharMerica Overview PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organi…
Skills: Neuro Rehabilitation, Cognitive-communication Recovery, Speech and Language Rehabilitation, Swallowing Therapy, Patient Evaluation
Town of Hempstead, New York, United States · On-site
$113k–$119k/yr
Entry level$62M raised
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Cabell County, West Virginia, United States · On-site
Entry level$62M raised
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Spring Valley Village, Texas, United States · On-site
Mid level$62M raised
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Skills: Medication Order Evaluation, Clinical Recommendations, Patient Profile Management, Regulatory Compliance, Drug Therapy Guidelines
Our Company PharMerica Overview PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organi…
Skills: Supervisory Experience, 3rd Party Billing, Collections, Long-Term Care Adjudication, MS Office
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Skills: Medication Order Entry, Drug Calculations, Pharmacy Claim Resolution, Medicaid Compliance, Customer Service
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Our Company PharMerica Overview PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. As a growing organization, we offer excitin…
Pickens County, South Carolina, United States · On-site
Mid level$62M raised
Our Company PharMerica Overview PharMerica is hiring a full-time Pharmacy Order Entry Technician in Easley, SC! Join our closed-door pharmacy team where you’ll work in a non-retail environment, dedicated to meeting the p…
Skills: Medication Order Entry, Drug Calculations, Pharmacy Claim Resolution, Medicaid Compliance, Customer Service
Our Company PharMerica Overview PharMerica is hiring a Full Time Pharmacy Technician in San Antoinio, TX! Join our closed-door pharmacy team where you’ll work in a non-retail environment, dedicated to meeting the pharmac…
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Our Company PharMerica Overview The Strategic Account & Growth Manager is responsible for driving market growth in long term care while maintaining, expanding and strengthening relationships with prescribers and pharmace…
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$55/hr–$60/hr
Part-time
postgraduate degree
Sign-on Bonus, Flexible Scheduling, Paid Documentation Time, Mileage Reimbursement, Drive Time Pay
Posted 29d ago
Apply by Jul 14
~40 hrs/week
Responsibilities
Perform evaluations and develop treatment plans for patients with speech, language, cognitive, and swallowing disorders in home and community settings. Collaborate with treatment teams and families to ensure coordinated care and functional recovery after neurological injuries.
Requirements
Requires a Master's Degree in Speech Language Pathology, a valid state license, and current CPR certification. A minimum of one year of experience as an SLP is required, with a preference for knowledge in complex neurological injury rehabilitation.
Full job description
Our Company
PharMerica
Overview
PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.
The 3rd Party Claims Specialist Team Lead is a subject matter expert (SME) on the company’s denial research methods, internal and external databases, reporting tools and policies and procedures. The Team Lead is a SME on all types of denials and functions performed by both the Claims Specialist I and Claims Specialist II and acts as a trainer and mentor to both.
Shift: Multiple Shifts Available
Remote position
Benefits and perks for You!
Medical, Dental, Vision insurance
Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
Tuition discounts & reimbursement
401(k)
Company Paid Time Off*
Shift Differential
DailyPay
Pet Insurance
Employee wellness and discount programs
*Benefits may vary by employment status
Responsibilities
Trains new employees and ensures all applicable training materials are provided and reviewed
Provides support to staff and acts as a mentor/coach to promote a positive environment
Provides feedback on all levels of staff to supervisor to be used in employees one on ones, check-ups and reviews
Identifies staff performance issues and discuss with Supervisor
Provides the necessary re-training or one on one support with staff to assist in meeting the performance expectations
Assists management with fair distribution of work/site assignments being sure to communicate when the workloads are off balance and make suggestions on how to reconcile
Reviews variances and write-offs submitted by staff for accuracy of information and approval requirements before giving to Supervisor for approval
Performs monthly quality assessments on staff to ensure accuracy. Report any identified training needs to Supervisor and Manager for further review and follow-up action plan as needed
Prepares and maintain reports and records for processing as well as run and produce miscellaneous reports as assigned or necessary
Identifies potential financial exposure and risk to the company with underperforming or non-compliant payers
Stays up to date on third-party billing requirements
Monitors and provide support to those assigned to work convert billing exception reports to ensure claims are billed to accurate financial plans timely
Completes billing transactions for non standard order entry situations as required
Provides education to management and team members on payer specific claim processing rules, reimbursement, and other policy guidelines as gleaned by, and confirmed through working directly with payers
Takes initiative to find opportunities and make suggestions for process improvement within the department
Qualifications
EDUCATION/EXPERIENCE• High School graduate, GED or equivalent experience.• Desired: Associates degree, 4 year college or technical degree.• 3+ years insurance billing experience.• Specialized understanding of billing requirements in one of the following areas: Medicare Part D, Medicaid, and Commercial billing.• Understanding of revenue cycle functions within pharmacy practice or equivalent setting.
LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS• Desired: Pharmacy Technician.
KNOWLEDGE/SKILLS/ABILITIES• Strong analytical skills, excellent time management and attention to details.• Working knowledge in MS Office Products (Excel, Word) and basic computer knowledge.• Comfortable making phone calls and interacting with internal/external entities.• AS400, Frameworks or QS1, Computer Systems Experience.• Communication, problem solving, detail oriented and teamwork, customer service, and accuracy.• Strong organization skills, self-starter, and confidence.• Must be a positive mentor to all staff.
This position will require sitting, standing, and walking. It will also require frequent typing on a keyboard. Ability to push/pull 21-30 lbs, and carry up to 21-30 lbs.
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Comprehensive pharmacy management for long-term care settings.
Providing value beyond medication.
Industry
Pharmaceutical Manufacturing
Company size
5,001-10,000 employees
Headquarters
Louisville, Kentucky
LinkedIn followers
35,977
Total funding
$62M
Headquartered in Louisville, Kentucky, PharMerica is one of the largest institutional pharmacy companies in the U.S. With more than 180 long-term care pharmacies in almost every state, we offer a national scope with a local approach, as well as unmatched clinical quality and customer care.
With approximately 6,000 dedicated employees, PharMerica is proud to be home to some of the industry’s best and brightest clinicians and innovators. Check out our current openings, ranging from long-term care pharmacy roles to corporate and other non-clinical opportunities. To support your quality of life, we offer educational opportunities, remote work, and a comprehensive benefits package.
Offices: 805 N Whittington Pkwy, Louisville, Kentucky 40222, US
Behavioral Health Pharmacy ServicesSenior Living Pharmacy ServicesI/DD Pharmacy ServicesLong-Term Care Pharmacy ServicesHospice Pharmacy ServicesSkilled Nursing Pharmacy Servicesand Pharmacy ServicesHospitalHealth CareBiotechnology
Comprehensive pharmacy management for long-term care settings.
Providing value beyond medication.
Industry
Pharmaceutical Manufacturing
Company size
5,001-10,000 employees
Headquarters
Louisville, Kentucky
LinkedIn followers
35,977
Total funding
$62M
Headquartered in Louisville, Kentucky, PharMerica is one of the largest institutional pharmacy companies in the U.S. With more than 180 long-term care pharmacies in almost every state, we offer a national scope with a local approach, as well as unmatched clinical quality and customer care.
With approximately 6,000 dedicated employees, PharMerica is proud to be home to some of the industry’s best and brightest clinicians and innovators. Check out our current openings, ranging from long-term care pharmacy roles to corporate and other non-clinical opportunities. To support your quality of life, we offer educational opportunities, remote work, and a comprehensive benefits package.
Offices: 805 N Whittington Pkwy, Louisville, Kentucky 40222, US
Behavioral Health Pharmacy ServicesSenior Living Pharmacy ServicesI/DD Pharmacy ServicesLong-Term Care Pharmacy ServicesHospice Pharmacy ServicesSkilled Nursing Pharmacy Servicesand Pharmacy ServicesHospitalHealth CareBiotechnology