Pharmacy Billing at Spartanburg

Job Description

Job Summary: (one paragraph or less stating the overall purpose of the role)

Assures timely, accurate billing of all facility and/or private pay covered supplies and equipment. Maintains the total accounts receivable for facility and/or private pay.

Key Responsibilities: (include approximate % of overall time spent on each)

Review private pay billing statements for correctness and accuracy of charges.

Review facility unbilled charges for correctness and accuracy of charges.

Respond to written customer inquiries regarding account status within forty-eight (48) hours. Research customers account and document follow-up appropriately.

Mail statements to long term care facilities, patient homes, residents, or responsible parties.

Review paper Hospice accounts to ensure proper documentation is obtained and applied in the system.

Make certain that at all times an effort is made to validate that any information regarding an account is discussed with the patient or responsible party only.

Document all account activity on system in notes or in chart.

Work with residents, patients, facilities, and family members regarding charges, complaints, and collection activities.

Contact with bookkeeper at the long term care facilities as he or she attempts to reconcile charges.

Access computer to obtain patient records such as status of account, treatment, medication, and charges.

Refer to collection representative at the pharmacy for all accounts overdue in excess of 30 days.

Work and partner with other internal departments to resolve issues.

Participate in projects and/or meeting as designated by management.

Follow all applicable government regulations including HIPAA.

Other duties as assigned; job duties may vary by location.

Management Responsibilities: None.

Minimum (Required) Qualifications: (must be met in order to perform the job at the required level)

High school diploma or equivalent.

0-2 years of pharmacy billing experience.

Basic knowledge of insurance procedures

Ability to work in a fast paced, rapidly changing environment.

Excellent verbal and written communication as well as listening skills.

Intermediate computer and typing skills.

Preferred Qualifications: (if above and beyond the minimum required)

Healthcare industry experience.

1-3 years of experience working in an office/business setting.

Prescription third party claims management experience.

Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role.

Work Environment: Work in a climate-controlled, smoke-free internal environment.

Disclaimer: The above job description is intended to describe the general nature and level of work being performed by employees assigned to this job. It is not designed to capture or illustrate a comprehensive list of all responsibilities, duties, and skills required of employees assigned to this job.

Job Requirements

See above requirements
Country: USA, State: South Carolina, City: Spartanburg, Company: Omnicare.