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Census / Billing Team Lead

4 months ago

Longmont, United States Res-Care, Inc. Full time

Our Company

PharMerica

Overview

The Census/Billing Team Lead is a subject matter expert (SME) on the company's Census and Billing practices, internal databases, reporting tools, and policies and procedures. The Team Lead is a SME on all functions performed by both Census Associates I & II and Billing Associates I & II and acts as a trainer and mentor to both. Responsible for ensuring census updates reported are processed timely and accurately, charges are entered timely and accurately, and that all necessary procedures are completed prior to invoicing, and statements are finalized, in accordance with contract and PharMerica's Client Billing Services Policies and Procedures.

Join our PharMerica team PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today

This is an excellent opportunity for a Pharmacy Technician to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

This position has the potential opportunity to be remote

We offer:

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life insurance benefits

Company paid STD and LTD

Employee Discount Program

401k

Paid-time off

Tuition reimbursement

Non-retail/Closed-door environment

If your passion is service excellence and top-quality care come join our team and apply today

* Position will be posted for a minimum of 7 business days

Responsibilities

* Provides initial support to associates through training and answering questions on policies and procedures.• Provides support to staff and acts as a mentor/coach to promote a positive environment.• Perform quality assessments on staff to ensure accuracy and that actions taken are within accordance with contract and policies. Provide feedback and coaching to staff. Report any identified training needs to Supervisor and Manager for further review and follow-up action plan, as needed.• Provides the necessary re-training or one-on-one support with staff to assist in meeting the performance expectations.• Provides feedback on all levels of staff to Supervisor to be used in employee's one-on-ones, check-ups, and reviews.• Identify staff performance issues and discuss with Supervisor.• Assists in managing balanced workload and ensuring deadlines are met.• Responsible to maintain the data integrity of alternate databases, including but not limited to Payer Code crosswalks, bed/room stations, facility specific details (i.e. Hierarchy Tool, Census Tracker, Share site).• Reviews variances and write-offs submitted by staff for accuracy of information and approval requirements before giving to Supervisor for approval.• Interprets contract documents to ensure billing is performed in compliance with all contract terms.• Processes changes in information systems to support accurate and efficient billing process and financial close. • Facilitates and ensures accurately and timely billing of services and fees to facility clients.• Completes interim statement review to ensure charges are accurate.• Participate in month-end closing and audits as necessary.• Completes investigation of inquiries on billed charges and acts in accordance with contract and policy.• Provides customer support via phone or electronic communications.• Works with Management team in researching items requiring special attention.• Works with Management team on special projects, as needed.• Takes initiative to find opportunities and make suggestions for process improvement within the department.• Foster unity and team success through the sharing of knowledge, mentoring new associates, and helping others successfully meet deadlines and objectives.• Performs other tasks as assigned.• Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

* Education/Learning Experience• Required: High School graduate, GED or equivalent experience• Desired: 2 year degree
* Work Experience• Required: 3 years Billing and/or Collections experience; excellent oral and written communication skills; Team leadership skills; must be capable and willing to train and/or mentor others.• Desired: Billing or Collections experience in the healthcare industry; AS400 computer experience
* Skills/Knowledge• Required: Basic computer knowledge, Data Entry, MS Excel and Word, ability to work in high-volume, fast-paced environment• Desired: Medical Billing and Coding

About our Line of Business

PharMerica is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies. PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about PharMerica, please visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

Salary Range

USD $23.00 - $25.00 / Hour