Pharmacy Billing Associate

Overview

Scope of Responsibilities : The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances

Job Summary: The following are the duties performed by employees in this classification.

Responsibilities

Job Duties:

Face-sheet and census entry to ensure accurate billing.

Verifying primary and secondary insurance coverage on residents.

Provide customer service and problem resolution to facilities and residents.

Account reconciliation and account refund requests

Complex account reconciliation

Account adjustments, bad debt processing

Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up

Track and re-bill pending Medicaid accounts

Re-bill claims as needed

Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.

Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.

Recognize and rectify any errors made within an account

Set up Lawson accounts for facility and private pay

Month-end closing process

Re-bill claims to improve reimbursement from NETRX reporting

Assist in special projects as required

Works with minimal supervision

May assist in orienting and training new employees

Responsible for completing all mandatory and regulatory training programs

Perform other duties as assigned

Qualifications

Attendance Requirements:

Must be available, and on-time for scheduled work shifts

Educational Requirements:

Required: High School Diploma or GED

Preferred: Associates Degree or Higher in Accounting or related field

Experience:

Preferred: Experience in Accounts Receivable Department or Collections preferred, but not required

Required (Vermont Employees):

Registered with the State of Vermont as a Pharmacy Technician

Special Conditions of Employment:

Drug test

Initial and continuous exclusion and sanction/disciplinary monitoring

Any and all additional eligibility requirements based on the specific position

Job Skill Requirements:

Assertive interpersonal communication skills

Strong understanding of computer technology

Behavioral Traits Required:

Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with

Initiative: Must work within supervision guidelines and assume additional responsibilities

Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work

Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences

Involvement: Must enjoy the demands of the job and work with interest and enthusiasm

Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately

Safety: Must take care of equipment and employ good safety habits

Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams

Compensation:

$18.00-22.00 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

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Job Locations US-NY-E Syracuse

Posted Date 1 day ago (10/7/2024 10:37 AM)

Requisition ID 2024-13275

# of Openings 1

Category Accounting/Finance

Location : Location US-NY-E Syracuse