Billing Specialist - Long-Term Care, Full Time

HomeTown Pharmacy Inc•Rockford, MI

About The Position

Long-Term Care Billing Specialist The ideal candidate for this position is detail-oriented, able to multitask, and enjoys working with customers. A successful Pharmacy Billing Assistant enjoys working with others in an effective manner, strives to always improve themselves, who is flexible and adaptable, provides quality service to customers, and understands what it means to be professional. As a Pharmacy Billing Assistant, your typical day would include: Working as a collaborative team member to meet the service goals of the pharmacy Create a welcoming environment by greeting all customers and providing quick and efficient service Accurately enter patient information into the pharmacy database to assist with proper billing Maintain a safe pharmacy environment by adhering to health code guidelines and corporate standards. Knowledge of dispensing and data entry functions. Thorough knowledge of Billing Department manual Corrections to insurance rejections, reverse and rebill claims as necessary. Understanding of insurance companies, billing practices, eligibility checks, secondary pay sources, Medicare (A vs. B vs. D vs. Advantages plans), prior authorizations. Working knowledge of accounts receivable, including crediting, posting payments and charges, COD policy. Work with facilities and responsible parties to get appropriate paperwork to maintain patient files. Handle deposits, send paperwork (invoices/packing slips, etc.) to home office following appropriate procedures.

Requirements

Outstanding Customer Services Skills
Effective Communication Skills
Attention to detail
Time Management
Organization Skills
Basic Computer Skills
Willingness to learn new skills

Responsibilities

Working as a collaborative team member to meet the service goals of the pharmacy
Create a welcoming environment by greeting all customers and providing quick and efficient service
Accurately enter patient information into the pharmacy database to assist with proper billing
Maintain a safe pharmacy environment by adhering to health code guidelines and corporate standards
Knowledge of dispensing and data entry functions
Thorough knowledge of Billing Department manual
Corrections to insurance rejections, reverse and rebill claims as necessary
Understanding of insurance companies, billing practices, eligibility checks, secondary pay sources, Medicare (A vs. B vs. D vs. Advantages plans), prior authorizations
Working knowledge of accounts receivable, including crediting, posting payments and charges, COD policy
Work with facilities and responsible parties to get appropriate paperwork to maintain patient files
Handle deposits, send paperwork (invoices/packing slips, etc.) to home office following appropriate procedures