Billing Specialist - Long-Term Care, Full Time

HomeTown Pharmacy Inc; Chelsea (MI); On-site; USD 36,000 - 48,000; Full time

Job summary

HomeTown Pharmacy Inc. in Michigan seeks a detail-oriented Pharmacy Billing Assistant who thrives in a fast-paced, customer-facing role.

You will handle billing data entry, insurance authorizations, and collaboration with the team to ensure accurate filings while maintaining compliance and quality service.

Qualifications

• Detail-oriented, able to multitask and provide quality customer service.
• Experience entering patient data into the pharmacy billing system.
• Knowledge of insurance billing, eligibility checks, and Medicare plans.
• Understanding accounts receivable, posting payments and credits.
• Collaborates with team to meet pharmacy service goals.
• Adheres to health code guidelines and corporate standards.

Responsibilities

• Greet customers and provide quick, efficient service.
• Collaborate with team to meet service goals.
• Enter patient data accurately for proper billing.
• Maintain patient files and handle deposits per procedures.
• Adhere to health code guidelines and corporate standards.

Skills

Effective Communication Skills

Time Management

Organization Skills

Basic Computer Skills

Willingness to learn new skills

Job description

The ideal candidate for this position is detail-oriented, able to multitask, and enjoys working with customers. A successful Pharmacy Billing Assistant enjoys working with others in an effective manner, strives to always improve themselves, who is flexible and adaptable, provides quality service to customers, and understands what it means to be professional.

As a Pharmacy Billing Assistant, your typical day would include:

• Working as a collaborative team member to meet the service goals of the pharmacy
• Create a welcoming environment by greeting all customers and providing quick and efficient service
• Accurately enter patient information into the pharmacy database to assist with proper billing
• Maintain a safe pharmacy environment by adhering to health code guidelines and corporate standards.
• Knowledge of dispensing and data entry functions.
• Thorough knowledge of Billing Department manual
• Corrections to insurance rejections, reverse and rebill claims as necessary.
• Understanding of insurance companies, billing practices, eligibility checks, secondary pay sources, Medicare (A vs. B vs. D vs. Advantages plans), prior authorizations.
• Working knowledge of accounts receivable, including crediting, posting payments and charges, COD policy.
• Work with facilities and responsible parties to get appropriate paperwork to maintain patient files.
• Handle deposits, send paperwork (invoices/packing slips, etc.) to home office following appropriate procedures.

Skills that are an absolute must include:

• Effective Communication Skills
• Time Management
• Organization Skills
• Basic Computer Skills
• Willingness to learn new skills