Pharmacy Billing Specialist
CommuniCare Health Services
full-time
Posted on:
Location Type: Remote
Location: Maryland • Ohio • United States
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Tech Stack
About the role
- Completing Action Summary for assigned homes on a daily basis
- Census reconciliation on a weekly basis including Medicare
- Verifying correct patient setup for monthly billing
- Completing SQL Reports
- Monitor and manage room moves and update in Framework
- Begins rebill process based on payer changes
- Primary Billing Batches worked in timely manner
- Primary and Secondary Rebilling - Private Pay accounts, Medicaid approval, incorrect billing
- Communicate to management if Rebilling is not completed by the 9th of each month
- Back up for daily deposit
- Back up for Hospice Med list and hospice rebilling
- Ensure assigned homes billed accurately and timely at month end
- Assist Accounts Receivable Analyst in customer notes and billing questions
- Monitor Medicaid Pending Group each month
- Send BAE on Medicaid Approved Residents when needed
- Third Party Audits as requested by supervisor
- Assist with Training and QA
Requirements
- High School Diploma or GED required
- Previous Medical Billing experience required
- Framework knowledge is a plus
- Pharmacy Experience/Background is a plus
Benefits
- competitive wages and PTO plans
- full-time employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers
- 401(k) with employer match
- Flexible Spending Accounts
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
SQLbillingcensus reconciliationrebillingMedicareMedicaidpatient setupaccounts receivableauditingtraining
Soft Skills
communicationtime managementattention to detailorganizational skills
Certifications
High School DiplomaGED