Collections Billing Associate

HealthDirect Pharmacy Services; Town of Gates (NY); On-site; USD 25,000 - 30,000; Full time

Job summary

HealthDirect Pharmacy Services is seeking an Administration Billing Associate to ensure accurate billing processes, verify insurance coverage, and manage reconciliations for facilities and residents. You will handle re-bills, month-end close, and recordkeeping with attention to detail.

The role emphasizes customer service, problem resolution, and the ability to work with minimal supervision while maintaining compliance with training requirements and company policies.

Qualifications

• Education requirements as stated: high school diploma or GED; associate or higher in accounting preferred.
• Experience in accounts receivable or collections preferred but not required.
• Ability to use computer systems and software for billing and recordkeeping.

Responsibilities

• Face-sheet and census entry to ensure accurate billing.
• Verify primary and secondary insurance coverage on residents.
• Provide customer service and problem resolution to facilities and residents.
• Account reconciliation and refund requests; complex reconciliation tasks.
• Month-end closing process; re-bill claims to improve reimbursement.
• Set up Lawson accounts for facility and private pay; maintain accurate records.

Skills

Interpersonal skills

Tech savvy

Customer service

Education

High School Diploma or GED

Associate or higher in Accounting

Tools

Lawson

Job description

Overview

Scope of Responsibilities: The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances

Job Summary: The following are the duties performed by employees in this classification.

Responsibilities

Job Duties:

• Face-sheet and census entry to ensure accurate billing.
• Verifying primary and secondary insurance coverage on residents.
• Provide customer service and problem resolution to facilities and residents.
• Account reconciliation and account refund requests
• Complex account reconciliation
• Account adjustments, bad debt processing
• Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
• Track and re-bill pending Medicaid accounts
• Re-bill claims as needed
• Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Inititate corrective action plan and notify management.
• Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
• Recognize and rectify any errors made within an account
• Set up Lawson accounts for facility and private pay
• Month-end closing process
• Re-bill claims to improve reimbursement from NETRX reporting
• Assist in special projects as required
• Works with minimal supervision
• May assist in orienting and training new employees
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned

Qualifications

Attendance Requirements:

• Must be available, and on-time for scheduled work shifts

Educational Requirements:

• Required: High School Diploma or GED
• Preferred: Associates Degree or Higher in Accounting or related field

Experience:

• Preferred: Experience in Accounts Receivable Department or Collections preferred, but not required

Required (Vermont Employees):

• Registered with the State of Vermont as a Pharmacy Technician

Job Skill Requirements:

• Assertive interpersonal communication skills
• Strong understanding of computer technology

Behavioral Traits Required:

• Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with
• Initiative: Must work within supervision guidelines and assume additional responsibilities
• Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work
• Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences
• Involvement: Must enjoy the demands of the job and work with interest and enthusiasm
• Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
• Safety: Must take care of equipment and employ good safety habits
• Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams

Compensation:

$18.00-22.00 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.