Pharmacy Medical Biller

AIDS Healthcare Foundation•Los Angeles, CA

About The Position

A Pharmacy Medical Biller contributes to AHF's mission by projecting and integrating within and outside of Department of Medicine. Within their duties of claims submission, claim edits, payment posting and cashiering, credit and refund processing, insurance follow up, denial management, patient follow-up, and patient collections. By verifying patient insurance eligibility and ensuring scope of coverage this position has the opportunity to give stand out service that enhances the reputation of AHF and encourage patients to return to an AHF center and recommend it to others. In addition, by following up professionally to any billing related telephone calls and answer questions from patients, staff, and other interested parties within 24 hours of receipt, demonstrates the core values of AHF. Precision in the handling of refunds, overpayments on accounts and transfers payments to the appropriate account/accounts under management approval, maximizes the revenue to AHF. The medical biller adds consistent value to the revenue cycle /DOM department by adapting to various situations with ease and by being flexible.

Requirements

Pharmacy Technician License
Medical Billing Certification

Responsibilities

claims submission
claim edits
payment posting and cashiering
credit and refund processing
insurance follow up
denial management
patient follow-up
patient collections
verifying patient insurance eligibility
ensuring scope of coverage
following up professionally to any billing related telephone calls
answer questions from patients, staff, and other interested parties within 24 hours of receipt
handling of refunds, overpayments on accounts and transfers payments to the appropriate account/accounts under management approval
adapting to various situations with ease and by being flexible