Automation, Bill Of Process (BOP), Billing, Business Administration, Communication Skills, Customer Support/Service, Data Entry, Federal Laws and Regulations, Healthcare, High School Diploma, Insurance, Long-Term Care, Medical Billing, Medicare, Organizational Skills, Pharmacy, Problem Solving Skills, Regulations, State Laws and Regulations, Telephone Skills, Time Management, Training Program, Typing
Assist in centralized billing of all claims
Responsibilities:
Job Duties:
- Responsible for accurate data entry of resident insurance information.
- Review of resident face sheets and make corrections if needed.
- Verify and change any financial pay statuses.
- Provides customer service and problem resolution to assigned facilities
- Identify errors that caused claim denial on a daily basis
- Correct all necessary data
- Re-bill claims as needed
- Interact with Kinney Employees (Store and Corporate) and various outside agencies
- Assist in the overall automation of billing procedures
- Assist end of month bill process
- Visit clients to go over monthly billing statement
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
Qualifications:
Educational Requirements:
- Preferred: AS Degree or Higher in Business Administration or related field
- Minimum: High School Diploma
Experience:
- Preferred: 1 to 2 years Long Term Care pharmacy billing
- Preferred: General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.
Required (Vermont Employees):
- Registered with the State of Vermont as a Pharmacy Technician
Required (Ohio Employees Only):
- Registered with the State of Ohio as a Pharmacy Technician
Job Skills Required:
- Excellent phone communication skills
- Strong organizational skills
- General computer and keyboarding skills
- Ability to complete responsibilities with minimal supervision
Attendance Requirements:
- Must be available, and on-time for scheduled work shifts
- Must be able to work nights and weekends as required.
Compensation:
$19-22 per hour
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.