Accounts Receivable Specialist

Onco360•Louisville, KY

17d•Onsite

About The Position

Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Our Onco360 Corporate Office in Louisville, Kentucky has an immediate need for an Accounts Receivable Specialist. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. Accounts Receivable Specialist Summary: The Accounts Receivable Specialist will participate in the daily operational functions related to the management and collection of company-wide Accounts Receivable.

Requirements

High School diploma or GED
2-3 Healthcare accounts receivable experience
NDC Medication Billing, PBM and Medical Contract, Medicare programs and Coordination of Benefits, Healthcare Audit Experience

Nice To Haves

Certified Pharmacy Technician, Associates or Bachelor’s Degree
Pharmacy specific receivable experience
National of State Pharmacy Tech Certification

Responsibilities

Work directly with the insurance company, healthcare provider, and patient to get claims processed and paid appropriately; including Redetermination, and Appeals process.
Be familiar with and be able to interpret both Rx Pharmacy and Medical claims and Remittance Advices. Understanding of HCPC, ICD-10, and/or Medication NDC in conjunction with claim billing activity.
Have a working knowledge of electronic claim adjudication, familiar with NDPDP D.0 standard and rejections. Able to complete claim updates and corrections as needed.
Well versed on Medicare and Medicaid pharmacy program and reimbursement guidelines.
Monitoring electronic remittance and manual payments/denials to ensure proper payment posting and reflection of receivables. Coordinate with cash team to ensure pending payment postings are accounted for properly and resolved timely.
Monitor A/R Dashboard and system A/R Manager to determine aged accounts that require follow up and prioritize the activities with the staff. Exhibit excellent time management skills in monitoring and following up on assigned aged claims.
Serve as a resource for Patients on all Billing and Accounts Receivable inquiries, including but not limited to understanding of copay structure, accepting patient payments, and the like.
Perform other tasks as assigned by Manager, Director and/or Executive leadership.
Exhibit a positive, courteous, respectful, and helpful attitude towards patients, team members, payers, and management.
Work within specified deadlines and open to overtime when necessary to meet department goals and objectives.
Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Ability to demonstrate leadership and constructively work with and supervise others