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Form of workJOIN TEAM TRILOGY
Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP's) and Third-Party Insurances.
Schedule Options
$18-24/HR based on experience. 5% shift diff for 2-10:30 shift
Duties
1. Runs daily ECS log report to identify denied claims for Medicare or other insurers.
2. Reviews and completes all denied claims in the ECS log for Medicare and other insurers
3. Requests prior authorization on drugs that are denied for prior authorization.
4. Obtains third-party insurance information on all necessary orders.
5. Bills any non-covered drugs to the appropriate party
6. Enters debit/credit adjustments in Framework as needed. Complete the Framework Adjustment Form and forward a copy to the Accounting Department.
7. Ensures patient profiles are updated with payor changes and exceptions.
8. Notifies facilities of changes and exceptions when appropriate.
9. Processes and prints all monthly facility invoices.
10. Assists with special projects as needed.
11. Meets Expectations of Excellence for position.
12. Supports location, departmental goals, and the overall objectives of the Company.
13. Complies with all laws, regulations and standards of ethical conduct.
14. Responsible for uncompromising levels of cleanliness and safety.
15. Leads by Example (LBE), upholds and promotes the culture, mission and values of the Company.
16. Performs all job duties with a friendly positive and team-oriented approach.
17. Maintains professional/technical competencies and proficiencies for job responsibilities.
18. Complies with all Company policies, procedures, rules and standards.
WHAT WE'RE LOOKING FOR
Licenses/Certifications
Experience
WHERE YOU'LL WORK : Location
US-KY-Louisville
GET IN TOUCH
John (502) 829-7857
LIFE AT TRILOGY
At Synchrony Health Services, we offer collaborative clinical solutions for multiple aspects of senior housing and long-term care including pharmacy, rehabilitation, and lab. United by our culture of service, we believe in blending compassion with clinical expertise, to the benefit of our partners, our employees, and most importantly, the people we serve.
Synchrony Health Services is an Ancillary division of Trilogy Health Services, which is an award winning company that is leading the way in employee benefits, professional development, personal wellness and recognition. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.
Let's talk about benefits.
APPLY NOW
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP's) and Third-Party Insurances.
Schedule Options
- Monday-Friday 9:00am-5:30pm with rotating weekends.
- Monday-Friday 11am-7:30pm with rotating weekends.
- Monday-Friday 2:00pm-10:30pm with no weekends. (5% shift differential)
$18-24/HR based on experience. 5% shift diff for 2-10:30 shift
Duties
1. Runs daily ECS log report to identify denied claims for Medicare or other insurers.
2. Reviews and completes all denied claims in the ECS log for Medicare and other insurers
3. Requests prior authorization on drugs that are denied for prior authorization.
4. Obtains third-party insurance information on all necessary orders.
5. Bills any non-covered drugs to the appropriate party
6. Enters debit/credit adjustments in Framework as needed. Complete the Framework Adjustment Form and forward a copy to the Accounting Department.
7. Ensures patient profiles are updated with payor changes and exceptions.
8. Notifies facilities of changes and exceptions when appropriate.
9. Processes and prints all monthly facility invoices.
10. Assists with special projects as needed.
11. Meets Expectations of Excellence for position.
12. Supports location, departmental goals, and the overall objectives of the Company.
13. Complies with all laws, regulations and standards of ethical conduct.
14. Responsible for uncompromising levels of cleanliness and safety.
15. Leads by Example (LBE), upholds and promotes the culture, mission and values of the Company.
16. Performs all job duties with a friendly positive and team-oriented approach.
17. Maintains professional/technical competencies and proficiencies for job responsibilities.
18. Complies with all Company policies, procedures, rules and standards.
WHAT WE'RE LOOKING FOR
- High School diploma or equivalent.
Licenses/Certifications
- Kentucky registered pharmacy technician or eligible.
Experience
- One (1) to three (3) years' billing experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred.
- One (1) to three (3) year's Medicare Part D experience.
- Minimum one (1) year multi-facility experience preferred.
- Exemplary computer skills that include knowledge of the Microsoft Office Suite of products.
WHERE YOU'LL WORK : Location
US-KY-Louisville
GET IN TOUCH
John (502) 829-7857
LIFE AT TRILOGY
At Synchrony Health Services, we offer collaborative clinical solutions for multiple aspects of senior housing and long-term care including pharmacy, rehabilitation, and lab. United by our culture of service, we believe in blending compassion with clinical expertise, to the benefit of our partners, our employees, and most importantly, the people we serve.
Synchrony Health Services is an Ancillary division of Trilogy Health Services, which is an award winning company that is leading the way in employee benefits, professional development, personal wellness and recognition. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.
Let's talk about benefits.
- Competitive salaries and weekly pay
- Wage increases EVERY quarter
- Student loan repayment, scholarships, and tuition reimbursement
- Health, dental, vision, and life insurance kick in on the first of the month after your start date
- 401(k) Match
- Bonuses for attendance, referrals, and gas
- Quarterly employee recognition ceremonies
- And so much more!
APPLY NOW
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
