Billing Specialist - Long-Term Care, Part Time

HomeTown Pharmacy Inc; Rockford (MI); On-site; USD 38,000 - 46,000; Full time

Job summary

HomeTown Pharmacy Inc. in Rockford, MI is seeking a Long-Term Care Billing Specialist to join our team. The ideal candidate is detail-oriented, able to multitask, and enjoys helping customers.

The role involves collaborating with the team to meet service goals, greeting customers, and accurately entering patient information for billing while maintaining compliance with health codes and billing procedures.

Qualifications

• Excellent communication and customer service abilities.
• Strong time management and organization.
• Basic computer skills and aptitude for learning new software.
• Experience with billing or insurance processes preferred.
• Detail-oriented with high accuracy.

Responsibilities

• Collaborate with team to meet service goals.
• Greet customers and provide quick, efficient service.
• Enter patient information into the pharmacy database for proper billing.
• Maintain a safe pharmacy environment by following health codes.
• Understand insurance billing, eligibility checks, and Medicare plans.
• Handle deposits and paperwork to home office following procedures.

Skills

Effective Communication Skills

Time Management

Organization Skills

Basic Computer Skills

Willingness to learn new skills

Job description

Location: 4382 - 14 Mile Rd

Rockford, MI

Job Id:655

# of Openings:1

Long-Term Care Billing Specialist

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