Scope of Responsibilities: Works under minimal supervision.
- Responsible for accurate data entry of resident insurance information.
- Review of resident face sheets and make corrections if needed.
- Verify and change any financial pay statuses.
- Provides customer service and problem resolution to assigned facilities
- Identify errors that caused claim denial daily
- Correct all necessary data
- Re-bill claims as needed
- Interact with HealthDirect employees and various outside agencies
- Assist in the overall automation of billing procedures
- Assist end of month bill process
- Visit clients to go over monthly billing statement
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
- Must be available, and on-time for scheduled work shifts
- Must be able to work nights and weekends as required.
Educational Requirements:
- Minimum: High School Diploma
- Preferred: AS Degree or Higher in Business Administration or related field
Experience:
- Preferred: 1 to 2 years Medicare billing
- Preferred: General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.
Required (Vermont Employees):
- Registered with the State of Vermont as a Pharmacy Technician
- I have read and understand the above job description, and believe that I will be able to perform the above duties with training.
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 Skills Required:
- Excellent phone communication skills
- Strong organizational skills
- General computer and keyboarding skills
- Ability to complete responsibilities with minimal supervision
- Successful completion of a pre-employment and/or random drug screening test
Required Training:
- HIPPA Privacy Course
- HIPPA Security Course
- Fraud, Waste, and Abuse Course
Behavioral Traits Required:
- Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other 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
$18.44 - $24.01 an hour
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.