Overview:
Headquartered in Louisville, Kentucky, Synchrony Pharmacy has served long-term care and institutional healthcare facilities since 1994. With the guiding imperative to meet and exceed the resident's needs, Synchrony Pharmacy partners with personal/skilled care or assisted living facilities to address the unique pharmacy needs of their residents through specialized clinical and operational support services. Quality is not a goal; it is our basic operating tenet. Exceptional professional service and personal concern are our commitments.

Synchrony Pharmacy is an Ancillary division of Trilogy Health Services, which is an award winning company that is leading the way in employee benefits, professional development, personal wellness and recognition. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.

Let's talk about benefits.

• Competitive salaries and weekly pay
• Wage increases EVERY quarter
• Student loan repayment, scholarships, and tuition reimbursement
• Health, dental, vision, and life insurance kick in on the first of the month after your start date
• 401(k) Match
• Bonuses for attendance, referrals, and gas
• Quarterly employee recognition ceremonies
• And so much more!

Synchrony Pharmacy complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Responsibilities:
Acts as a liaison between all customers, Synchrony pharmacy locations, and payers (Medicare, Medicaid, Prescription Drug plans and Third-Party Insurances). Assists with rejections including Prior Authorizatoin, Step Edits , High Dollar medication reviews and other Clinical Support questions.

Hours - Day shift Monday-Friday only.

Duties

1. Assists the facility and nursing team complete the proper documentation to obtain a Prior Authorization (PA) approval when necessary.
2. Provide information to patients that will assist them in choosing an appropriate Med D plan to help reduce non-covered charges to the resident/facility.
3. Provides customer service and issue/resolution.
4. Resolves rejections, denials and PA's associated with all adjudicated Medicaid, Medicare D or Private Insurance claims.
5. Serves as the communication liaison regarding medication or resident coverage issues with Executive Directors/Administrators, Director of Health Services/DON's, Admissions, Social Services, Consultant Pharmacists, Internal Pharmacists, Data Entry, Business Office staff, Residents, Responsible Parties, Physicians, Medical Directors and PDP's/Insurance plans.
6. Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
7. Assists with special projects as needed.
8. Minimal travel including overnight stay as necessary.
9. Meets Expectations of Excellence for position.
10. Supports location, departmental goals, and the overall objectives of the Company.
11. Complies with all laws, regulations and standards of ethical conduct.
12. Responsible for uncompromising levels of cleanliness and safety.
13. Leads by Example (LBE), upholds and promotes the culture, mission and values of the Company.
14. Performs all job duties with a friendly positive and team-oriented approach.
15. Maintains professional/technical competencies and proficiencies for job responsibilities.
16. Complies with all Company policies, procedures, rules and standards.
Qualifications:

• High School diploma or equivalent. Associates degree preferred.

Licenses/Certifications

• Certified Pharmacy Technician preferrred.

Experience

• One (1) to three (3) years' billing experience. Healthcare, senior living industry, pharmacy or Long-term care environment preferred
• One (1) to three (3) years' Medicare D experience
• One (1) to three (3) years' customer service experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred.
• Minimum one (1) year multi-facility experience preferred.
• Exemplary computer skills that include knowledge of the Microsoft Office Suite of products.