Lead Billing Coordinator

BrightSpring Health Services; Louisville (KY); Hybrid; USD 40,000 - 56,000; 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

Employee discounts

401k

Paid time off

Tuition reimbursement

Non-retail environment

Job summary

Pharmacy Alternatives®, an affiliate of PharMerica, is seeking a billing specialist for a hybrid role in Louisville, KY. You will manage pre-billing processes, audit billing accuracy, and support policy adherence while delivering exceptional customer service to hospitals and long-term care facilities.

The position requires a High School Diploma, healthcare billing experience, and strong Excel/Word skills. Competitive pay, shift differential, benefits, and tuition assistance are offered to

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.

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

Typing

Multitasking

Healthcare billing

Medicaid/Medicare billing

Word & Excel

Education

High School Diploma/GED

Kentucky Pharmacy Tech License (preferred)

Tools

Microsoft Word

Microsoft Excel

Job description

Our Company

Pharmacy Alternatives

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 anon-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)

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

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team

*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 pharmacysolutions 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. Follow us on Facebook and LinkedIn.