Description

Are your skills being detail-oriented with a passion for efficiency, precision, and patient care?

Do you thrive in a dynamic, fast-paced environment and enjoy driving results with your team?

If so, Lifemed Closed Door Pharmacy could be the perfect place for you!

We are looking for an individual who is dedicated, compassionate, and highly organized Billing Rep to join our long term care pharmacy support services team!

A little about Lifemed (A Friesen Group Company)

We are Northern California's Premier long-term pharmacy. Leading the way with compassion, reliability and trust. We deliver pharmacy solutions to long-term care facilities throughout the North State. Also, for the third time, recently certified as a Great Place to Work! Check out what our staff have to say: Friesen Group - Certified Great Place to Work

Values must align with our companyOur Core Values are: HUMAN VALUE, TAKE OWNERSHIP, MAKE THE DIFFERENCE, SET THE PACE AND EMBRACE CHANGE.
BenefitsMonday- Friday Schedule8AM-5PMMedical/Dental/VisionFlexible Spending Account401K with generous company matchPaid Time OffCompany Sponsored EventsWellness Reimbursement BenefitRecognition/Rewards ProgramEmployee Referral Incentive

Accurate and Timely Billing

• Process daily paperwork.
• Track unresolved issues until they become resolved (including any documentation necessary to bill.)
• Daily process all billable paper billed and electronic claims.
• Review all claims before mailing or transmitting to catch potential incorrect billings.

Accurate and Timely Collections

• Process, research and resolve denials daily as they are received.
• Follow collection guidelines and review accounts in the time frame specified by department policy as well as follow up on unpaid claims per department policy.
• Monthly review aged trial balance report/activity with your supervisor at a scheduled monthly meeting. Notes on all action taken, is expected on any account over 60 days old and any credit balance.
• Post receivables daily as they are received

Initiate and facilitate process improvement

• Analyze daily routines and look for alternate methods of current processes to maximize efficiency.
• Analyze software functions for possible improvement to maximize efficiency.
• Facilitate and/or participate in training to operations on process improvement changes when assigned.

Support general company and department operations

• Answer phones in a timely manner, addressing customer concerns immediately or transferring customers to the appropriate personnel.
• Participate in department meetings and complete assigned action items as required.
• Inform appropriate personnel when forms or supplies need to be ordered.
• Participate in the Reimbursement Values committee as assigned.
• Report all software and hardware (i.e. printers, fax machines, copy machine) issues to appropriate supervisor.

Administrative Support

• Assess daily workloads/schedules to determine where help may be needed to complete the essential daily reimbursement functions.
• Evaluate all projects assigned and report areas of concern to the department supervisor

Accurate & Timely Billing

• Daily process all billable paper billed and electronic claims.
• Review all claims before mailing or transmitting to catch potential incorrect billings.

Accurate and Timely Collections

• Process, research and resolve denials daily as they are received.
• Follow collection guidelines and review accounts in the time frame specified by department policy as well as follow up on unpaid claims per department policy.

Company & Department Operations

• Answer phones in a timely manner, addressing customer concerns immediately or transferring customers to the appropriate personnel
• Participate in departmental meetings and complete assigned action items as required.

Administrative Support

• Assess daily workloads/schedules to determine where help may be needed to complete the essential daily reimbursement functions.
• Daily maintain Admit \Discharge\Payer changes with Skilled Nursing Facilities.
• Process and deliver Monthly SNF Statements as well as Private Statements.

Other Responsibilities

• Complete additional Responsibilities as assigned.

Requirements

Experience

• Prior work experience in a medical setting. Understanding of insurance authorization and reimbursement. Customer Service experience.
• Knowledge of HCPC and NDC codes Preferred
• Pharmacy Technician License is preferred

Education

• High School Diploma or equivalent