Pharmacy Billing Technician

Symbria•Woodridge, IL

About The Position

Symbria Rx Services is seeking a Pharmacy Billing Technician to add to our growing team. The Pharmacy Billing Technician is responsible for managing and reconciling the daily census of assigned clients. In addition, the Pharmacy Billing Technician is responsible for processing timely and accurate bills to assigned clients.

Requirements

High school diploma or equivalent.
Long-term care pharmacy billing experience, minimum one (1) year preferred.
Detail oriented with effective time management skills.
Experience with billing and accounting software for managing accounts, processing payments, and reconciling reports.
Advanced knowledge of Microsoft products.

Responsibilities

Reconcile client census for assigned clients on a weekly basis.
Verify correct patient/customer set up for monthly billing including: Validating data on patient/customer is correct; Method of payment is included and correct; Medicare days are entered; and Invoice group is reflected accurately.
Ascertain updates on any payer source changes are made timely and accurately.
Process unit dose rejections in coordination with Third Party Cycle Billing Specialist.
Ensure assigned clients are billed accurately and timely.
Review unbilled claims for proper payor.
Skilled nursing care clients are expected to be billed by the third (3rd) business day of each month.
Private pay patients/customers are expected to be billed by the sixth (6th) business day of each month and no later than the tenth (10th) business day of each month.
Assist Phone Triage Technician and Accounts Receivable Analyst with: Providing customer notes and answers to questions asked by client/customer and/or family members; Monitoring payer status of clients who are deemed to be Medicaid pending; Once Medicaid eligibility is determined, rebilling client appropriately; and Provide Best Available Evidence (“BAE”) on Medicaid eligible patients/customers when
Assist with Third Party Audits, as requested.
Provide customer notes and answers to questions asked by client/customer and/or family members; Monitoring payer status of clients who are deemed to be Medicaid pending; Once Medicaid eligibility is determined, rebilling client appropriately; and Assist in obtaining Best Available Evidence (“BAE”).
Assist with third party audits, as requested.
Assist with Hospice billing, as requested.
Any and all other duties as assigned.