Pharmacy Tech-Billing Specialist

To perform and/or oversee the successful and timely completion of all business and financial functions within the parameters established by Senior Care Pharmacy guidelines, state and federal regulations, and as needed to achieve the financial goals of the facility. Promote an environment that provides optimal efficiencies and superior quality of the business office.

• Performs and/or oversees the completion of all routine and tasks, including but not limited to:
• • Obtains and inputs patient admission information including insurance data for billing purposes both timely and accurately.
  • Processes welcome letters and/or welcome calls on all new admissions.
  • Manages claim rejections.
  • Maintains current census and account information to reflect up-to-date and accurate information.
  • Assists with answering the telephones.
  • Conducts collection of accounts receivable and past due accounts according to the collection policy.
  • Process Write-off requests when necessary according to the collection policy.
  • Performs audits on resident accounts to ensure accurate billing.
  • Process account re-bills in a prompt, thorough and accurate manner and processes corresponding accounts receivable credit requests when necessary.
  • Provides prompt and courteous service to all customers and patients.
  • Address correction on returned mail
  • Responsible for courteously and effectively resolving billing inquiries from facilities, sponsors or other responsible parties.
  • Posts charges, credits and payments in computer system when required.
  • Process Facility and Private pay billing when required.
  • Process Third party billing when required.
  • Prepares private and facility statements/invoices for delivery when required.
  • Answer/return phone calls in a timely manner
• Reviews, analyzes and interprets data to monitor progress toward established goals; identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results; facilitates effective problem resolution and development of business office goals and objectives.
• Accepts ownership and accountability for the successful completion of assigned functions and achievement of goals.
• Strives for compliance by all staff with internal controls and state and federal regulations.
• Participates in the development and successful implementation of plan(s) of improvement as indicated, recommended and/or required by Supervisor, Director, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing obstacles to supervisor and company management team, verbally and/or in writing or as dictated.
• Provides training to other staff that is necessary to successful job performance, consistent with company standards and expectations, and facilitates cross-functional awareness and proficiencies.

• High school diploma or equivalent
• Knowledge of Medicare, Medicaid, Prescription Drug Plans (PDP’s) and Third Party Insurances.
• Healthcare/Pharmacy billing and collection experience preferred
• Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment
• Strong analytical skills; ability to quickly identify problems and find effective solutions
• Strong written and oral communication skills
• Must have knowledge of office machines and equipment
• Basic computer skills preferred; experience with Microsoft Excel and Word
• Ability to make independent decisions.
• Ability to understand and interpret financial data.
• Ability to work and produce results under pressure
• Ability to effectively and harmoniously interact with facility, management and other employees at all levels; promotes teamwork and professionalism
• Must be capable of maintaining regular attendance
• Must be dependable and able to work with minimal supervision
• Must be at least 18 years of age
• Must be able to speak, read, write, and understand English
• Must be capable of performing the ESSENTIAL JOB FUNCTIONSand PHYSICAL AND SENSORY REQUIREMENTS FOR ALL JOB FUNCTIONSas outlined below.