Job Details:
Responsible for maintaining a timely and accurate billing system.
Responsibilities
Oversight and participation in all aspects of patient’s billing functions.
Review rejected Claims and taking necessary steps to finalize claim, to include reverification of insurance, obtaining prior authorizations, contacting Payor, physician offices & patients
Review Pharmacy order and label verifying that the billing information matches
dispense prior to submission of claim.
Contacting patients to set up or reschedule delivery and update appropriate staff
Ensure copay’s are collected or billed to appropriate Payor
Timely and accurate submission of paper claim. Responsible for accurate
submission of necessary documentation to the insurance companies with claims.
Responsible for knowing and following policies and procedures.
Participate in collection activities and accounts receivable management.
Participate in Center QA&I to ensure achievement of excellence.
Ensure A/R reflects the appropriate amount expected from Insurance Carrier.
Perform other duties as assigned by supervisor
Qualifications
Good computer skills and detailed oriented.
Good communication skills.
Knowledge of medical terminology.
One-year experience in billing, cash posting or collection procedures, preferably
in healthcare.
Good communication skills.
Able to handle multiple tasks in a stressful environment.
High School Diploma or Equivalency
CarepathRx is transforming pharmacy care delivery for health systems, with an intense focus on delivering improved patient outcomes that drive clinical, quality and financial results.
We take an enterprise approach to pharmacy care delivery, helping health systems manage and expand healthcare services, enhance pharmacy operations, and generate new revenue streams.
For patients this means a more seamless experience and better overall health. And for clients, it means pharmacy is no longer a cost center — it’s a results generator.