Pharmacy Billing Technician / Program Coordinator I (Finance- Central Office)

State of South Carolina•Lexington County, SC

1d•Onsite

About The Position

The Pharmacy Billing Technician / Program Coordinator I works at the South Carolina Department of Behavioral Health and Developmental Disabilities (DBHDD) Central Office in Cayce, South Carolina. The position ensures timely and accurate processing of claims for William S. Hall Inpatient Psychiatric Hospital and monthly completion of room-and-board and physician billing. The role follows up with insurance carriers and third-party payors to confirm payment and supports pharmacy billing and related administrative activities.

Requirements

High school diploma and relevant experience in business management, public administration, or administrative services.
A bachelor's degree may substitute for the required work experience; academic degrees must be from an accredited institution of higher learning.
After hire, be detail-oriented and proficient in Microsoft Word, Excel, PowerPoint, SharePoint, and Outlook.
Be able to work in an office environment; work outside regular business hours may be required.

Nice To Haves

Certified Pharmacy Technician as defined by the SCLLRB.
At least two years of billing experience.
Experience with claims processing software.
Bilingual ability in English and Spanish or another language.

Responsibilities

Create claims after charges are closed and accurately allocated.
Prepare, batch, and review claims.
Submit psychiatric room-and-board and physician billing claims electronically through the Avatar system and FTP them to the clearinghouse.
Review claims in Emedix after submission, correct errors or rejections, and support timely processing.
Follow up on claims to ensure timely payment and minimize aged claims.
Maintain documentation related to claims processing.
Follow up on payments and denials.
Contact insurance companies and federal or state agencies to obtain or verify benefits and insurance coverage information.
Submit collection letters to clients for insurance carriers as needed on a daily basis.
Review client ledgers for accurate accounting of charges, payments, and adjustments, and report errors to a supervisor.
Prepare paperwork for required waivers.
Track insurance prior authorizations and enter notes in Financial Eligibility and Managed Care in Avatar daily.
Monitor morning reports for incoming clients and their folders.
Maintain the pharmacy Medicaid tracking log.
Assist with department mail distribution.

Benefits

Health insurance
Dental insurance
Vision insurance
Disability insurance
Life insurance
15 days of annual (vacation) leave per year
15 days of sick leave per year
13 paid holidays
Paid parental leave
S.C. Deferred Compensation Program
Retirement benefit choices through the State Retirement Plan (SCRS) or State Optional Retirement Program (State ORP); enrollment in one listed plan is required for FTE employees