LTC Pharmacy Revenue Cycle Specialist

Ebenezer•Arden Hills, MN

5d•Onsite

About The Position

Ebenezer Pharmacy is a closed-door Long-Term Care (LTC) pharmacy located in Arden Hills, MN. We specialize in packaging and distributing medications to nursing homes and assisted living facilities. We offer a relaxed environment with the opportunity to grow! Regular operating hours Monday-Friday 8:00 am-8:00 pm, Saturday/Sunday 9:00 am-5:00 pm. This position requires an every third weekend rotation. The LTC Pharmacy Revenue Cycle Specialist is responsible for processing payments, claim reconciliation, and oversight of the billing and collection process. Essentially, this individual is responsible for overall revenue cycle management for Ebenezer Pharmacy.

Requirements

Pharmacy or medical billing experience
Proficiency in Microsoft Windows, including Outlook, Word, and Excel
Pharmacy Technician MN in good standing with board
Must be at least 18 years of age

Nice To Haves

Accounting experience
1 year LTC Pharmacy technician experience
Basic understanding of Framework LTC and ECM
Prior experience and knowledge in data entry for pharmacy information systems
Mathematical skills including ability to calculate discounts, proportions, percentages, and volume; apply concepts of algebra to practical situations; interpret prescription quantities.

Responsibilities

Utilize various pharmacy and accounting software systems to: perform order entry, billing, and credit operations; Accounts Payable & Receivable duties; and receive and resolve patient billing questions.
Uphold a high level of customer service in all communication, including while answering phones and promptly corresponding with residents, nursing staff, or other health care professionals.
Work independently in problem solving with patients or caregivers/POA/guarantor regarding their accounts and billing situations.
Collaborate with other healthcare professionals and patients to troubleshoot billing needs.
Timely processing and follow-up of patient requests for payment research, checking charges, and insurance processing concerns
Processes payments via check or credit card payments
Apply and reconcile patient/insurance payments to patient accounts
Reconciles the account balances for both patient specific as well as facility accounts versus payments received.
Collects patient-responsible co-pays, co-insurance, and deductible charges from the patient and/or responsible party.
Researches and identifies correct patient charge account and posts the appropriate payments/adjustments.
Identifies and resolves account discrepancies.
Respectfully and effectively communicate with health care partners to troubleshoot and resolve rejected claims or billing issues.
Initiate, update, and maintain vendor files and CMN’s.
Assisting the pharmacist with technical functions.