Pharmacy Billing Technician
Pharmacy Billing Technician
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Symbria Rx Services is seeking a Pharmacy Billing Technicianto 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.
Qualifications
High school diploma or equivalent.
Longterm 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 processingpayments and reconciling reports; andAdvanced 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 employeeowned healthcare providers our focus remains on delivering bestinclass services within our Pharmacy Rehabilitation and WellBeing operations which allows our clients to improve the lives and wellbeing of their patients and residents. Our teams utilize insights and analytics to drive better health outcomes for our partnered postacute and senior living communities while providing them with flexible service options.
Symbrias Core Values drive the way we partner with those clients their patients and residents and the way our diverse employeeowners 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
As an employeeowner Symbrias success becomes your success. In addition we provide:
- Competitive pay aligned with market guidelines
- Full Benefits Package including very generous paid time off plans
- Professional liability coverage
- 100 employerfunded 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.
Required Experience:
IC
Employment Type
Full-Time
