Uro Pharmacy Billing Specialist (43112)
About The Position
The UROPharmacy Billing Specialist is responsible for providing the highest level of work, to ensure patients receive the best care when ordering catheters and/or medications. The UROPharmacy Coordinator must communicate any issues to the Manager, and can volunteer solutions to these problems. The Pharmacy Coordinator should be willing to assist the co-workers, management and physicians as needed. Complete insurance verification and document amount patient will owe for the order to be processed. Communicate to patient the portion owed and collect payment. Post charges associated with the medication and/or catheter orders. Post payments for medications and/or catheter orders. Compare reimbursements received by insurance carriers against the allowable to ensure proper payment received. Be able to identify that a claim has been denied or not paid in full Be able to investigate and identify the denial or partial payment reason Be able to correct errors on claims and write and submit appeals Answer incoming calls with a positive attitude and assist the patient. The UROPharmacy Billing Specialist is responsible for solving numerous problems that include but not limited to: Orders not being processed correctly Insurance not covering service Dealing with doctors or nurses when problems arise Responsible for appearance of the pharmacy. The Department is expected to appear tidy by the end of the day. Performs other tasks and duties as may be added from time to time. Work is performed in accordance with established procedures and by using independent judgment and discretion. The UROPharmacy Coordinator is expected to handle complaints and determine proper courses of action to take. Reviews all procedure manuals annually or when changes occur in a timely manner when assigned
Requirements
- High School Diploma or equivalent
- Maintains an understanding of the latest techniques and guidelines in the pharmacy
- Must have a basic knowledge of the rules and regulations that the pharmacy is governed under.
- Must have interpersonal skills as well as verbal and written communication skills necessary to communicate effectively with physicians, nurses, co-workers, and others.
- Has general working knowledge of the accounts receivable process
Responsibilities
- Complete insurance verification and document amount patient will owe for the order to be processed.
- Communicate to patient the portion owed and collect payment.
- Post charges associated with the medication and/or catheter orders.
- Post payments for medications and/or catheter orders.
- Compare reimbursements received by insurance carriers against the allowable to ensure proper payment received.
- Be able to identify that a claim has been denied or not paid in full
- Be able to investigate and identify the denial or partial payment reason
- Be able to correct errors on claims and write and submit appeals
- Answer incoming calls with a positive attitude and assist the patient.
- Responsible for appearance of the pharmacy.
- Performs other tasks and duties as may be added from time to time.
- Reviews all procedure manuals annually or when changes occur in a timely manner when assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
