Billing Specialist
Position Summary
The Billing Specialist is responsible for ensuring that all client profiles and customer profiles are accurately and efficiently entered through the appropriate software system as delegated by the Lead Billing Specialist or the Billing Services Manager. The Billing Specialist will work in all functions of the billing services department based on the needs of workflow for that day as delegated by the Lead Billing Specialist or Billing Services Manager. The Billing Specialist will utilize computer hardware and software associated with In Touch Pharmaceuticals property, and any other tools needed to successfully complete their assigned tasks. The Billing Specialist will work as a part of a team to ensure that all the needs of the client and customer are met.
Job Responsibilities and Requirements
The primary purpose of the Billing Specialist is the contribution to a team effort to complete billing functions on all client and customer profiles ensuring accuracy and efficiency to meet a predetermined deadline for processing. Routinely applies critical thinking skills and effectively initiates resolution to problems identified by the customer. The Billing Specialist may be required to sit for long periods of time, frequent movements of fingers and hands, and ability to maintain professionalism while handling outgoing and incoming calls from customers.
Essential Functions
The essential functions of the Billing Specialist position include: the adjudicating of all pharmacy prescription claims from updated client and customer profiles, assurance that all necessary documentation for billing practices (i.e. consent form and responsible party form) is received and completed.
· Customer Service
o Routinely applies telephone etiquette with peers and customers. Greeting, tone of communication and problem-solving concerns are professional.
· Client and Customer Profiles
o Routinely updates client and customer profiles ensuring accuracy to billing information, A/R profile, to appropriately adjudicate claims
o Upon updates, completes profile review to ensure that claims are paid.
· Pre-Billing
o Prioritizes predetermination of billing claims to ensure that all medications are paid prior to completed statement release.
o Understands separation of facility payment and private payment when pre-billing.
· Use of Company Resources Appropriately
o Pharmacy electronic software systems and tools
· Compliance with Company policy and procedures
o Attendance at Department meetings
o Compliance with company handbook regulations (i.e. dress code, recording your time, conduct of behavior, etc.)
o Wears ID badge and enters time clock information as required.
o Personnel Payroll System
· Compliance with Company Communication Practices
o Company electronic communication system(s)
PI80cfa23cd9f8-30492-40736541
Senior Reimbursement Analyst - REMOTE The Senior Reimbursement Analyst is key organizational resource responsible for providing critical analytical, review and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third-party cost...
McDonald#39;s is now hiring energetic, motivated and experienced individuals. McDonald#39;s is looking for people that would have open availability to include morning and day shifts, dinner, late night and weekend shifts. As a McDonald#39;s Crew Member, you#39;ll enjoy...
...convenience stores as well as bars and restaurants. Shelves must be filled and product rotated. This position requires a CDL and must be DOT certified. We will train the right candidate for CDL and DOT certification. Must have good people skills and customer service oriented....
...~ Route and detention pay. Qualifications Valid Class A Commercial Drivers License (CDL). Live within 50 miles of Upton, KY. Minimum 3 months of Class A driving experience. Additional benefits ~ Opportunity to work with a dedicated, professional team...
...innovative business solutions that give clients a competitive edge. Job Description Job Title: JIRA Administrator & Agile Coach Job Location: Glen Allen, Virginia, United States of America, 23060 Job Description : JIRA Administrator & Agile Coach (...