Pharmacy Billing Technician Program Coordinator I (Finance- Central Office)

Are you passionate about making a real difference in peoples lives Join our team at the Office of Mental Health where we are dedicated to providing compassionate and accessible care to our community. We are seeking aPharmacy Billing Technician / Program Coordinator Iwho is motivated to help individuals and families navigate lifes challenges and achieve long-term wellness. If you want to use your skills to build a healthier more resilient community we encourage you to apply.

• Create claims once charges are closed and accurately allocated. Prepare batch and review all claims. Submit all claims electronically in the Avatar system and FTP them into our clearinghouse for psychiatric room & board and physician billing.
• Review after submission for errors or rejections in Emedix and correct any issues to insure proper and timely processing.
• Perform appropriate follow up activities to ensure timely payment and to minimize aged claims. Maintain files of documentation related to claims processing. Follow up and payments or denials. Contact any insurance company or federal or state agency to obtain and/or verify any available benefits or insurance coverage information. Submit letters for collections to clients for all insurance carriers as needed on a daily basis.
• Review client ledgers for accurate accounting of client charges payments and adjustments and report to supervisor if there are any errors. Prepare paperwork for any waivers that are required.
• Keep track of all insurance prior authorizations and make notes in Financial Eligibility and Managed Care in Avatar on a daily basis. Keep track of morning reports for incoming clients to be aware of new clients and folders.
• Maintain Medicaid tracking log for pharmacy purposes.
• Assist with mail distribution for the department.
  

• A bachelors degree and be a Certified Pharmacy Technician with relevant program experience.

• Must be a Certified Pharmacy Technician as defined by the SCLLRB with at least (two) 2 years of billing experience.

• Bilingual abilities in English and Spanish (or another language) are a plus.

Post hire you must:

• Have the knowledge of Jaws regulations policies and procedures relevant to the area of employment.
• Be able to exercise judgement and discretion and be able to establish and maintain effective working relationships.
• Be able to interpret and apply Jaws regulations policies and procedures.

The Department of Behavioral Health and Developmental Disabilities is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race color religion sex (including pregnancy childbirth or related medical conditions including but not limited to lactation) national origin age (40 or older) disability or genetic information.

Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position.

The Department of Behavioral Health and Developmental Disabilities offers an exceptional benefits package for full time (FTE) employees:

• Health dental vision long-term disability and life insurance for employees spouse and children. Click here for additional information.
• 15 days annual (vacation) leave per year
• 15 days sick leave per year
• 13 paid holidays
• Paid Parental Leave
• S.C. Deferred Compensation Program available (S.C. Deferred Compensation)
• Retirement benefit choices*
  • State Retirement Plan (SCRS)
  • State Optional Retirement Program (State ORP)

*Enrollment in one of the listed plans is required for all FTE employees; please refer to the contribution section of hyperlinked retirement sites for the current contribution rate of gross pay.