Pharmacy Billing Technician
2 days ago
Symbria Rx Services is seeking a Pharmacy Billing Technician to add to our growing team.
The Pharmacy Billing Technician is responsible for managing and reconciling the daily census of assigned clients. In addition, the Pharmacy Billing Technician is responsible for processing timely and accurate bills to assigned clients.
Check out our video about Symbria and how you can make a difference as an employee owner
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; and
- Invoice 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 of
- each month.
- Private pay patients/customers are expected to be billed by the sixth (6th) business day
- of 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/or
- family members;
- Monitoring payer status of clients who are deemed to be Medicaid pending;
- Once Medicaid eligibility is determined, rebilling client appropriately; and
- Provide Best Available Evidence ("BAE") on Medicaid eligible patients/customers when
- Assist with Third Party Audits, as requested.
- Provide customer notes and answers to questions asked by client/customer and/or
- family members;
- Monitoring payer status of clients who are deemed to be Medicaid pending;
- Once Medicaid eligibility is determined, rebilling client appropriately; and
- Assist 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.
• 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.
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 ethics
- Compassion - Commitment to serving seniors
- Stewardship - Maximizing mission and margin
- Innovation - Striving to enhance our value to your organization
- Teamwork - Working together unselfishly toward goals
- Competitive pay, aligned with market guidelines
- Full Benefits Package, including very generous paid time off plans
- Professional liability coverage
- 100% employer-funded ESOP retirement plan
- 401(k) and Roth(k) plans
- Continuing education
- Credit union membership
All 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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