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Point of Sale
1 week ago
This position is being announced concurrently under Excepted Service Examining Plan/Merit Promotion Plan (ESEP/MPP) procedures. Please review vacancy announcement number IHS-24-PX ESEP/MP; for eligibility requirements.
NOTE:
Applicants must apply separately for each announcement in order to be considered.
Receives the pharmacy prescription dispensing reports electronically via online billing system.
Ensures that prescription dispensed are entered into the system with the correct brand name or generic name, for this information is the key to the charge generated per visit and maintained in the accounting records.
Researches patient records, reconstructs incorrect or missing medical information required to prepare a valid insurance billing when data received is incomplete.
Analyzes, maintains, and directs the total billing operation for pharmacy point-of-sale programs, and acts as an advocate for Indian Health Service in the collection of Alternate Resources.
Request and obtains prior authorization for various pharmaceutical products from insurance companies.Researches and follows up on rejected claims online in order to ensure maximum reimbursement to the facility.
Develops and maintains files for the tracking of billing and reimbursement.
Responds to third party requirements on post-payment reviews, exclusions, denials, and appeals.
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