Pharmacy Billing Specialist

2 weeks ago

Miamisburg, United States Kettering Medical Center Network Full time

Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Responsibilities & Requirements

Job Title: Pharmacy Billing Specialist

Collaborative Pharmacy Services- Long Term Care Pharmacy

Reports To: Manager of Pharmacy

SUMMARY:

The Pharmacy Billing Specialist is responsible for reviewing claims, unit dose billing, processing EFT's and payments. Billing Coordinator will generate monthly invoices for all facilities and private pay patients. Additionally, the Billing Coordinator is key contact to facilities and patients for billing questions.

MAJOR AREAS OF RESPONSIBILITY:

Process EFT's

Process payments

Unit-dose billing

Fix insurance rejections

Process patient payer changes

Balance A//R

Generate monthly billing for facilities and patients

Generate end of month reports for facilities

Generate end of month reports for finance team

Contact facilities for late payments

Upload file to third party for private pay statement mailing

Answer facility and patient billing questions and resolve any issues

QUALIFICATIONS:

Education and Experience

General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.

Preferred health care, medicare and or pharmacy experience related to billing, claims and customer service

High School Diploma

National Pharmacy Technician Certification, ideal but not required

Registered Technician with the Ohio State Board of Pharmacy, ideal but not required

Accurate and detail oriented

Basic computer skills - Ability to use Microsoft Office

Exemplary communication skills and customer focus is a must

Ability to create positive impressions and communicate with a variety of people

Personable and courteous working relationships

Must have a very positive demeanor with co-workers and customers

Ability to multi-task and prioritize

Communicates effectively with team members

Strong interpersonal and effective communication skills

Self-driven

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