Billing Coordinator for Pharmacy Services
About The Position
Join us at Eldercare Pharmacy Administration – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities. As a non-profit organization, CHSGa provides access to care across the healthcare spectrum in all 159 Georgia counties. We are invested in our organization, our healthcare professionals, and the communities in which we live and work. Our mission inspires us to act boldly to address the needs of a growing, mature population in Georgia. We will continue to innovate and advance change in healthcare to better people’s lives in the state of Georgia.
Responsibilities
- Periodically communicates and coordinates with long-term care and third party providers to obtain and verify patient demographic and insurance information to facilitate the accuracy of patient accounts and the processing of claims in accordance with established procedures and guidelines.
- Enters and/or updates patient information utilizing an automated computer billing system; maintains records of work activities.
- Responds to inquiries from long-term care centers, patients, family members, and other customers regarding accounts and statements; investigates patient account issues; documents and re-files and/or adjusts claims when necessary.
- Documents non-covered charges and reasons for denial; forwards denied charges to supervisor for review and ensures that secondary claim has been billed if appropriate.
- Checks the status of claims with third party providers and works with processors on retroactive billing when needed.
- Monitors the daily census of long-term care centers and reports changes in accordance with established protocol.
- Complies with all HIPAA policies specifically relating to patient confidentiality and release of information; maintains strict confidentiality on all client information; attends staff in-services and training.
- Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
- Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
- Performs other duties as necessary to ensure the success of the System.
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What This Job Offers
Education Level
No Education Listed
Number of Employees
11-50 employees
