For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group homes.”.  On a daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more than 50,000 residents. 

HealthDirect is a division of KPH Healthcare Services, a billion dollar, 100% employee owned provider of pharmaceutical and healthcare services. KPH is comprised of four divisions – Kinney Drugs, ProAct Inc., HealthDirect and Noble Health Services.  The family of KPH Healthcare Services began with Kinney Drugs retail in 1903.  All KPH family company values stem from Kinney’s long-standing commitment to trust and community-minded health solutions.  

As a team, HealthDirect has achieved significant growth. Over the past 6 years we have grown from four pharmacies in two states to 20 pharmacies across eight states.  Our team has grown to over 900 employees and we are looking to add another – possibly you!

Scope of Responsibilities: The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances   

Job Summary: The following are the duties performed by employees in this classification.

Job Duties:

• Face-sheet and census entry to ensure accurate billing.
• Verifying primary and secondary insurance coverage on residents.
• Provide customer service and problem resolution to facilities and residents.
• Account reconciliation and account refund requests
• Complex account reconciliation
• Account adjustments, bad debt processing
• Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
• Track and re-bill pending Medicaid accounts
• Re-bill claims as needed
• Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.
• Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
• Recognize and rectify any errors made within an account
• Set up Lawson accounts for facility and private pay
• Month-end closing process
• Re-bill claims to improve reimbursement from NETRX reporting
• Assist in special projects as required
• Works with minimal supervision
• May assist in orienting and training new employees
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned

Attendance Requirements:

• Must be available, and on-time for scheduled work shifts

Educational Requirements:

• Required: High School Diploma or GED
• Preferred: Associates Degree or Higher in Accounting or related field

Experience:

• Preferred: Experience in Accounts Receivable Department or Collections preferred, but not required

Required (Vermont Employees):

• Registered  with the State of Vermont as a Pharmacy Technician

Special Conditions of Employment:

• Drug test
• Initial and continuous exclusion and sanction/disciplinary monitoring
• Any and all additional eligibility requirements based on the specific position

Required Training:

• HIPPA Privacy Course
• HIPPA Security Course

Job Skill Requirements:

• Assertive interpersonal communication skills
• Strong understanding of computer technology

Behavioral Traits Required:

• Cooperation: Must work harmoniously and effectively  with  fellow employees, supervisors and others you are in contact with
• Initiative: Must work within supervision guidelines and assume additional responsibilities
• Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work
• Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences
• Involvement: Must enjoy the demands of the job and work with interest and enthusiasm
• Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
• Safety: Must take care of equipment and employ good safety habits
• Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams