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.

Created: 2024-11-13