KPH Healthcare Services

Pharmacy Billing Associate

Job Locations US-NY-E Syracuse
Posted Date 1 month ago(10/7/2024 10:37 AM)
Requisition ID
2024-13275
# of Openings
1
Category
Accounting/Finance
Location : Location
US-NY-E Syracuse

Overview

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.

Responsibilities

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

Qualifications

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

 

 

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

 

Compensation:

 

 $18.00-22.00 an hour

 

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. 

 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

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