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Revenue Cycle Operations Specialist

2 months ago

Somerset New Jersey, United States PharmScript, LLC Full time
Job Summary

We are seeking a highly skilled Revenue Qualifying Specialist to join our team at PharmScript, LLC. As a key member of our Revenue Cycle Operations department, you will play a critical role in ensuring the accuracy and timeliness of our revenue cycle processes.

Key Responsibilities
  • Enter and track daily census and face sheets from Beneficiary Facilities for correct billing to Medicare, Medicaid, and Private Insurances
  • Contact facilities to verify 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 internal and external departments to resolve issues
  • Follow all applicable government regulations, including HIPAA
Requirements
  • High School diploma or equivalent
  • Able to work independently and in a diverse team environment
  • Reliable, able to work under pressure, and meet deadlines
  • Excellent communication skills and professional demeanor
  • Detail-oriented and excellent organizational skills
Benefits
  • Competitive hourly rate: $17.00 - $22.00 per hour
  • Robust suite of benefits, including health and wellness benefits, paid time off, and retirement planning
  • Opportunities for professional growth and development