Pharmacy Billing Technician

2 weeks ago


Woodridge, United States Symbria Full time

Responsibilities Reconcile client census for assigned clients on a weekly basis.Verify correct patient/customer set up for monthly billing including:Validating data on patient/customer is correct;Method of payment is included and correct;Medicare days are entered; andInvoice group is reflected accurately.Ascertain updates on any payer source changes are made timely and accurately.Process unit dose rejections in coordination with Third Party Cycle Billing Specialist.Ensure assigned clients are billed accurately and timely.Review unbilled claims for proper payor.Skilled nursing care clients are expected to be billed by the third (3rd) business day ofeach month.Private pay patients/customers are expected to be billed by the sixth (6th) business dayof each month and no later than the tenth (10th) business day of each month.Assist Phone Triage Technician and Accounts Receivable Analyst with:Providing customer notes and answers to questions asked by client/customer and/orfamily members;Monitoring payer status of clients who are deemed to be Medicaid pending;Once Medicaid eligibility is determined, rebilling client appropriately; andProvide Best Available Evidence (“BAE”) on Medicaid eligible patients/customers whenAssist with Third Party Audits, as requested.Provide customer notes and answers to questions asked by client/customer and/orfamily members;Monitoring payer status of clients who are deemed to be Medicaid pending;Once Medicaid eligibility is determined, rebilling client appropriately; andAssist in obtaining Best Available Evidence (“BAE”).Assist with third party audits, as requested.Assist with Hospice billing, as requested.Any and all other duties as assigned. Qualifications • High school diploma or equivalent.• Long-term care pharmacy billing experience, minimum one (1) year preferred.• Detail oriented with effective time management skills.• Software skills:Experience with billing and accounting software for managing accounts, processing payments, and reconciling reports; and Advanced knowledge of Microsoft products.Why work for us?At Symbria our employees act like owners – because we are owners As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents. Our teams utilize insights and analytics to drive better health outcomes for our partnered post-acute and senior living communities while providing them with flexible service options.Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee-owners work together:Integrity – Honest, Fairness and ethicsCompassion – Commitment to serving seniorsStewardship – Maximizing mission and marginInnovation – Striving to enhance our value to your organizationTeamwork – Working together unselfishly toward goalsAs an employee-owner, Symbria’s success becomes your success. In addition, we provide:Competitive pay, aligned with market guidelinesFull Benefits Package, including very generous paid time off plansProfessional liability coverage100% employer-funded ESOP retirement plan401(k) and Roth(k) plansContinuing educationCredit union membershipAll applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service.



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