Billing Coordinator for Pharmacy Services

CHSGa

Posted 2 months ago

Full Time

Hawkinsville, Georgia

In Person

Smart Summary

Responsibilities

The Billing Coordinator manages patient accounts by verifying insurance information, processing claims, and maintaining accurate billing records. They also respond to inquiries from patients and long-term care centers while ensuring compliance with HIPAA regulations.

Qualifications

You have experience coordinating billing processes, including verifying patient demographic and insurance information and entering/updating patient data in automated systems. You are also responsible for responding to inquiries, investigating account issues, and documenting non-covered charges, while strictly adhering to HIPAA policies and maintaining client confidentiality.

Must Have Skills for ATS

HIPAA

billing system

Job Description

Join us at  

Eldercare Pharmacy Administration

– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion  in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

  • Periodically communicates and coordinates with long-term care and third party providers to obtain and verify patient demographic and insurance information to facilitate the accuracy of patient accounts and the processing of claims in accordance with established procedures and guidelines.
  • Enters and/or updates patient information utilizing an automated computer billing system; maintains records of work activities.
  • Responds to inquiries from long-term care centers, patients, family members, and other customers regarding accounts and statements; investigates patient account issues; documents and re-files and/or adjusts claims when necessary.
  • Documents non-covered charges and reasons for denial; forwards denied charges to supervisor for review and ensures that secondary claim has been billed if appropriate.
  • Checks the status of claims with third party providers and works with processors on retroactive billing when needed. 
  • Monitors the daily census of long-term care centers and reports changes in accordance with established protocol.
  • Complies with all HIPAA policies specifically relating to patient confidentiality and release of information; maintains strict confidentiality on all client information; attends staff in-services and training.
  • Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
  • Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
  • Performs other duties as necessary to ensure the success of the System.

EEO / M / F / D / V / Drug Free Workplace

CHSGa

CHSGa provides access to a variety of health services across the state of Georgia. Associates from each Health Service work daily providing comprehensive services and assisting patients navigate the medical landscape within their communities. Continuity of care is a key component of service delivery and CHSGa continually strives to improve efficiency through technological innovation.
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