Staffingly Video

How to Modernize LTC Pharmacy Billing & Improve Cash Flow?

What this video covers

This video lays out a practical modernization path for long term care pharmacy billing operations. It covers eligibility workflows, rejection management, claim tracking, and payment reconciliation in sequence. It is built for pharmacy owners and billing directors who know their current process leaks revenue but need a concrete order of operations for fixing it without disrupting daily dispensing.

  • Verify before you bill. Checking coverage on every admission and payer change prevents the largest category of rejections before a single claim goes out.
  • Work rejections same day. Rejections resolved within 24 hours usually get paid; rejections left for month end often expire into permanent losses.
  • Track every claim. A claim-level tracking system shows exactly which submissions are unpaid, aging, or underpaid, replacing guesswork with a daily worklist.
  • Reconcile against contracts. Comparing each remittance to the contracted rate surfaces short pays that standard payment posting silently accepts as final.

Staffingly staffs dedicated LTC pharmacy billing teams that run this exact daily discipline: eligibility, rejections, tracking, and reconciliation, with 24/7 coverage and US-based account management. Pharmacies typically cut staffing costs by up to 70 percent and can prove the model in a 2-Week Free Trial. Learn more about Staffingly’s LTC & Retail Pharmacy services.

Modernize Your Billing, Steady Your Cash Flow

Book a 20 to 30 minute strategy call. We review your current workflow, show you the benchmarks for your specialty, and map what a dedicated team would cost. 2-Week Free Trial, BAA signed.

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Key highlights of every Staffingly engagement

You pay for the resource. Everything else is included.

Your flat weekly rate covers one dedicated specialist. The management layer around them, backup coverage, quality reviews, training, escalation, reporting, and custom automation comes standard at no added cost. Here is what every Staffingly account includes.

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  • Who manages my account day to day?

    An account manager plus a customer success manager. Two named people own your account: the account manager runs daily operations and quality, the customer success manager handles onboarding and communication tools like ClickUp or Teams, so your team never chases an answer.

  • What if something needs to go higher?

    VP-level escalation, US and offshore. A direct path above your account manager to Vice President level leadership on both sides, US-based and at our offshore delivery centers. You are never stuck in a ticket queue waiting for someone with authority.

  • What happens when my specialist is out or leaves?

    Backup coverage and same-week replacement. A cross-trained backup covers absences so your work never sits idle. If a specialist leaves or underperforms, we replace them the same week, trained on your workflows before the handoff.

  • How are holidays and leave handled?

    Planned in advance. Specialists receive approved US holidays and two weeks of paid leave per year. Coverage for those dates is arranged with you ahead of time, so continuity is planned, not improvised.

  • How do I know the work is getting done?

    Daily quality stand-up plus daily and weekly reports. Every account starts the day with a stand-up: what came in, what went out, what is stuck, and who is fixing it. You get a daily activity report and a weekly performance report, so nothing slips for a month before you hear about it.

  • How are specialists trained before they touch my account?

    AI-enabled, HIPAA-controlled training. Specialists train in simulations of your EMR and workflows inside our secured environment, with quizzes requiring an 80 percent passing score and AI-moderated final assessments. See how our training works.

  • Do I pay extra for automation?

    No. Custom AI and automation workflows are free. We build automation around your account at no charge: document intake, EMR data entry assistance, and status tracking, always with human review. Faster turnaround and fewer errors reaching the payer, without an extra software bill.

  • Will my rate change, and how do I add people?

    12-month price lock, easy scaling. Your rate is fixed for twelve months from your start date. Need more agents later? An email from your authorized representative is enough. Once confirmed in writing, new agents fall under your existing agreement. No new contract, no work order.

Dedicated specialists, never shared, working inside your EMR and payer portals under a signed BAA. One flat weekly price per operator covers all of the above.Book a Strategy Call