Revenue Qualifying Specialist

4 weeks ago


Somerset, New Jersey, United States Pharmscript Full time
Job Summary:

We are seeking a skilled Revenue Qualifying Specialist to join our PharmScript team within the Revenue Cycle Operations department. As a key member of our team, you will be responsible for ensuring that all outstanding census-related tasks are completed accurately and efficiently.

Key Responsibilities:

  • Enter and track daily census and face sheets from Beneficiary Facilities for correct billing to Medicare, Medicaid, and Private Insurances
  • Contact facilities on the status of Medicaid pending residents
  • Communicate with Business Office Managers, Directors of Nursing, and Administrators at long-term care facilities as needed
  • Timely verification and entry of customer information
  • Maintain accurate and complete census records concerning patient billing activity
  • Meet all census deadlines designated by customer expectations and contractual agreements
  • Work and partner with other internal and external departments to resolve issues
  • Follow all applicable government regulations, including HIPAA
  • Other related processes and job duties, as assigned
Requirements:
  • High School diploma or equivalent
  • Able to work independently as well as in a diverse, team environment
  • Reliable, able to work under pressure and meet deadlines
  • Excellent communication skills, professional demeanor
  • Detail-oriented, excellent organizational skills
Benefits:
  • Medical, Prescription Drug, Dental, and Vision coverage for you and your eligible dependents
  • Maternity care program and infertility services
  • Tax-favored Health Savings Accounts, Healthcare, and Dependent Care Flexible Spending Accounts
  • EAP Assistance Program with 24/7 access to free counseling, legal guidance, and financial resources
  • 15 PTO days annually and 6 paid/floating holidays
  • 401(k) retirement planning with company match
  • Transit/Parking Spending Account
  • Employee Discounts: Instant savings on hundreds of products and services
  • Pet Insurance
  • Employee Support Program to eligible employees in times of urgent need


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