Billing Representative

CareOne•Springfield, NJ

1d•Onsite

About The Position

Great new Career Opportunity in Long-Term Care Pharmacy! Now Hiring - Billing Representative - Springfield, NJ Hours: M – F 8:30 – 5:00

Requirements

High School Diploma or equivalent
Experience in long term care or retail pharmacy environment
1-3 years of Billing experience
Experience in Frameworks, a definite plus
Communication, problem solving and organizational skills a must
Must be able to work in a fast pace environment and meet deadlines
Typing, computer and multi-tasking skills are a must
Strong customer service skills

Nice To Haves

Experience in Frameworks

Responsibilities

Respond to all voice messages and emails within 24-48 hours
Track and enter daily census for assigned facilities.
Update the system with face sheet information for residents in their assigned facilities.
Handle facility and customer service inquiries.
Review and update system with resident information received from returned contracts for assigned facilities.
Handle re-bill rejections resulting from status changes for assigned facilities.
On a monthly basis, handles all aspects of facility and private billing for assigned facilities.
On a monthly basis, contacts Unysis, CMS, and facilities to follow up on pending Medicaid statuses.
On a weekly/bi-weekly basis, review the pre-billing report for their assigned facilities
Maintains and fosters positive work environment within the billing and admissions departments.
Communicates effectively with all company personnel.
Aware of all compliance documentation needed for Medicare B Billing requirements.
Follow Up procedures-needs to be able to follow up with doctors and facilities for necessary Medicare B compliance documentation
Reconcile claims including secondary claims
Research the different reconciliation for each state
Keep complete files for each Med B patient.
Participates in ongoing education and new compliance issues for appropriate billing of Medicare B claims
Maintains confidentiality, security and integrity of PHI information
Need to communicate any issues to Third Party manager that need to be addressed or any issues that need to be resolved.