Avera Long Term Care Pharmacy
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$18.25 $23.75
Position Highlights
9:30am6:00pm e/3rd wknd/hol; 80hrs/2wks
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief OverviewVerifies submits and adjudicates patient billing information submits necessary claim forms and reconciles accounts receivable remittances appropriately and documents tracking information to customers accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful Associate provides excellent customer service to external and internal customers.
What you will do
- Respond to external and internal customers concerns regarding accounts in a timely and accurate manner.
- Follow up may include investigating reports and correcting information necessary for complete accuracy. Once verified corrections and documentation of changes provided to patient and other appropriate departments.
- Investigates and reports on all current reimbursement developments on third party remittances and maintains compliance with coding/billing requirements.
- Directs the preparation completion and filing of third party payor insurance reimbursement claims both electronic and paper formats.
- Processes explanation of Medicare Benefits for supplemental insurances.
- Verifies bill accuracy and responsible for review to initiate appeal information when appropriate. Collaborate with other departments for followup and timely resolution.
- Comprehends/interprets organization policies procedures and maintains appropriate records for compliance and audit purposes. Corresponds with other appropriate departments for necessary billing information.
- Reconciles cash management and coordinates daily deposits for all applicable areas.
Essential QualificationsThe individual must be able to work the hours specified. To perform this job successfully an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others hear understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge skills and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions as long as the accommodations do not cause undue hardship to the employer.
Preferred Education License/Certification or Work Experience:
- Associates Technical degree or 1 to 2 years or related experience
- 13 years Related experience
Expectations and Standards
- Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
- Promote Averas values of compassion hospitality and stewardship.
- Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying parttime and fulltime employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Free health insurance options for fulltime single coverage on Avera High Deductible Health Plan
Up to 5% employer matching contribution for retirement
Career development guided by handson training and mentorship
Avera is an Equal Opportunity Employer Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please callor send an email to .
Required Experience:
IC