Louisville, KY, 40287, USA
1 day ago
Medicare B Specialist
### Experience Required 2 - 20 years ### Minimum Education Required High School Diploma/G.E.D. ### Compensation $7.25 / hourly ### Hours Per Week 40 ### Number Of Positions 1 ### Work Schedule and Shift Requirements First (Day) ### Job Description Requisition: 2026-194231 Medicare B Specialist Job Locations US-KY-LOUISVILLE ID 2026-194231 Line of Business PharMerica Position Type Full-Time Our Company PharMerica Overview PharMerica, a part of Brightspring Health Services, is a longterm care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States. The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution of an assigned account portfolio in accordance with PharMerica's policies. The position requires a high level of attention to detail when initiating, processing, and tracking prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests. The ideal candiate will be a Certified Pharmacy Technician (desired) and have two years billing and/or collections experience; Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday - Friday, 8:00am - 4:30pm eastern time zone 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 Responsibilities Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and professional standards Investigates Medicare B eligibility such as diagnosis, place of service, and medication for payment Prepares assignment of benefits, written orders, and obtains signatures from responsible parties Collects refill requests and dated manifest for each dispense Transmits electronic claim to Medicare B and after primary payment is received, prepares claim for secondary payer when applicable Responds to Medicare payer audits Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements Qualifications High School Diploma or GED; Associate degree desired Two years billing and/or collections experience; Medicare B preferred Familiarity with standard concepts, practices, and procedures with discipline Certified Pharmacy Technician Strong analytical, communication, and interpersonal skills 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. Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities. ### Job Type Full time ### Benefits Offered Not specified ### Veteran Preference No ### Place of Work On-site ### Requisition ID 2026-194231
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