Lead Billing Coordinator

PharMerica; Louisville (KY); Hybrid; USD 52,000 - 75,000; Full time

Benefits offered by this job

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health insurance

Dental insurance

Vision insurance

Life insurance

STD/LTD

Tuition Assistance

401k

Paid-time off

Tuition reimbursement

Non-retail/Closed-door environment

Job summary

PharMerica in Louisville, KY is seeking a detail-oriented Billing Supervisor to support staff, develop audit criteria, and manage daily billing operations for pre-billing and reporting tasks.

The role emphasizes accuracy, compliance with policies and government regulations, and collaboration with multiple internal teams to maintain efficient workflow and timely billing.

Qualifications

• High school diploma or GED required.
• Kentucky Pharmacy Tech License preferred.
• Excellent customer service and communication skills.
• Ability to prioritize and meet deadlines.
• Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills.
• Experience in healthcare billing environment (pharmacy preferred).
• Familiarization with on-line claims processing and Medicaid and Medicare billing practices.
• Proficient with Microsoft Word & Excel required.

Responsibilities

• Helps manage staff appropriately and sets clear expectations for performance.
• Work directly with Supervisor to develop audit criteria for productivity/accuracy metrics related to all pre-billing and reporting review.
• Prioritize and delegate job tasks to ensure timely completion.
• Support and manage business policies and procedures to maintain workflow standards.
• Conduct routine meetings with Supervisor and staff to review current state and engage all staff in discussion for improvement.
• Audit billing functions regularly for compliance to policies, procedures, and contract and government regulations.
• Assist Supervisor in overseeing daily billing activities per policies and procedures when necessary.
• Address performance and/or business issues while keeping direct manager informed.
• Participate on various billing specific sub-groups to identify all attributes for best practice implementation and influence development of policies and procedures as well as identify appropriate training material and educational opportunities.
• Ensure appropriate, timely and professional communications occurs with implementation team, Account Management team, Community staff as needed.
• Work and partner with other internal departments.
• Follow all applicable government regulations including HIPAA.
• Participate in projects and/or management meetings.
• Through interim statement review on a monthly basis, ensures charges are accurate.
• Reviews Community/resident bills and resolves any erroneous charges by adding and removing as necessary, and documenting in the client file with notes.
• Reviews and reconciles billing statements with private financial plans.
• Responds to Community/Resident disputes over billing of services.
• Works with responsible parties, receiving in/out bound telephone calls, providing customer service through explaining why they are being billed.
• Works with Client Billing Coordinator/Supervisor in researching pharmacy accounts requiring special attention.
• Help maintain new communities onboarding and master contact sheet, by utilizing QuickBase to track and load information.

Skills

Customer service

Communication

Prioritization

Multi-tasking

Typing

Technical skills

Healthcare billing

Microsoft Word

Microsoft Excel

Education

High School Diploma/GED

Kentucky Pharmacy Tech License preferred

Tools

Microsoft Word

Microsoft Excel

Job description

Our Company

Pharmacy Alternatives

Company Overview

Join our PharMerica team!

PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!

Schedule

Mon-Fri (8:30am to 5pm)

Location & Hybrid

This is a hybrid opportunity. Applicants must reside in, or commutable distance, to Louisville, KY

We Offer

• DailyPay
• Flexible schedules
• Competitive pay
• Shift differential
• Health, dental, vision and life insurance benefits
• Company paid STD and LTD
• Tuition Assistance
• Employee Discount Program
• 401k
• Paid-time off
• Tuition reimbursement
• Non-retail/Closed-door environment

Position Posted

• Position will be posted for a minimum of 7 business days

Responsibilities

• Helps manage staff appropriately and sets clear expectations for performance.
• Work directly with Supervisor to develop audit criteria for productivity/accuracy metrics related to all pre-billing and reporting review.
• Prioritize and delegate job tasks to ensure timely completion.
• Support and manage business policies and procedures to maintain workflow standards.
• Conduct routine meetings with Supervisor and staff to review current state and engage all staff in discussion for improvement.
• Audit billing functions regularly for compliance to policies, procedures, and contract and government regulations.
• Assist Supervisor in overseeing daily billing activities per policies and procedures when necessary.
• Address performance and/or business issues while keeping direct manager informed.
• Participate on various billing specific sub-groups to identify all attributes for best practice implementation and influence development of policies and procedures as well as identify appropriate training material and educational opportunities.
• Ensure appropriate, timely and professional communications occurs with implementation team, Account Management team, Community staff as needed.
• Work and partner with other internal departments.
• Follow all applicable government regulations including HIPAA.
• Participate in projects and/or management meetings.
• Through interim statement review on a monthly basis, ensures charges are accurate.
• Reviews Community/resident bills and resolves any erroneous charges by adding and removing as necessary, and documenting in the client file with notes.
• Reviews and reconciles billing statements with private financial plans.
• Responds to Community/Resident disputes over billing of services.
• Works with responsible parties, receiving in/out bound telephone calls, providing customer service through explaining why they are being billed.
• Works with Client Billing Coordinator/Supervisor in researching pharmacy accounts requiring special attention.
• Help maintain new communities onboarding and master contact sheet, by utilizing QuickBase to track and load information.

Qualifications

• High School Diploma/GED required
• Kentucky Pharmacy Tech License preferred
• Excellent customer service and communication skills, both written and verbal.
• Ability to prioritize and meet pre-determined deadlines.
• Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills.
• Experience in healthcare billing environment (pharmacy preferred)
• Familiarization with on-line claims processing and Medicaid and Medicare billing practices.
• Proficient with Microsoft Word & Excel required.

About Our Line Of Business

Pharmacy Alternatives®, an affiliate of PharMerica, is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities (I/DD). Pharmacy Alternatives offers long-term pharmacy solutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living or foster care. Our state-of-the-art approach includes packaging technology specially designed for the population we serve and electronic medication management that helps people live their best lives. For more information, please visit www.pharmacyalternatives.com.