LTC Billing Technician

GRX Holdings LLC; Iowa City (IA); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Medical/Dental/Vision benefits

401k with company match

Employee discount

Job summary

GRX Holdings, LLC is seeking a full-time Billing Technician for our Medicap Long Term Care Pharmacy in Iowa City. This on-site role requires submitting insurance claims and invoicing private-pay amounts across multiple billing cycles, while meeting tight deadlines.

Ideal candidates have a high school diploma, at least 2 years of billing experience, and experience in a professional office setting. Pharmacy technician experience and FrameworkLTC familiarity are preferred.

Qualifications

• High School Diploma is required.
• At least 2 years of billing experience is required.
• Minimum 2 years’ experience in a professional office environment.
• Knowledge of FrameworkLTC software is preferred but not required.
• Pharmacy Technician experience is preferred.

Responsibilities

• Submit claims to insurance companies for prescription sales.
• Invoice private pay amounts to patients for various billing cycles.
• Post payments to billing accounts and maintain resident files.
• Answer questions from LTC facilities, patients, and insurers.
• Prepare and distribute patient statements to LTC facilities on time.
• Investigate and resolve patient billing questions and complaints.
• Ensure compliance with HIPAA guidelines in all tasks.

Skills

Billing experience

Pharmacy technician experience

FrameworkLTC software

Education

High School Diploma

Tools

FrameworkLTC software

Job description

GRX Holdings, LLC is a fast growing, family-oriented group of independent pharmacies looking for a Full Time Billing Technician to work at our Medicap Long Term Care Pharmacy in Iowa City. This is not a remote position.

The Long-Term Care Billing Pharmacy Technician submits invoices for prescription claims to insurance companies and invoices private pay amounts to patients for a variety of billing cycles. This position must meet tight deadlines and be able to complete a variety of administrative tasks including posting payments to billing accounts.

Highly competitive pay rate commensurate with experience. Benefits and 401k with a company match, employee discount, and other benefits available. Fulltime positions are offered Medical/Dental/Vision benefits.

The following duties are normal for this position. These are not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

• Prepare and submit claims to various insurance companies for prescription sales using FrameworksLTC software.
• Answer questions from long-term care facilities (“LTC”), patients, pharmacy personnel and insurance companies.
• Manage the set-up and maintenance of resident’s files in accordance with company standards.
• Investigate and resolve patient billing questions.
• Resolve patient complaints appropriately.
• Prepare, review and distribute patient statements to LTC Facilities within required deadlines
• Maintain a working relationship with assigned LTC Facilities and Group Homes to ensure resident’s billing status is correct.
• Obtain, track and follow-up on prior approvals for all medications or items as required by payers
• Process returns and credits of medications
• Organize documents for insurance audits
• Review resident face sheets and make corrections if needed
• Contact insurance companies for benefit investigation and coverage eligibility
• Assist with billing of items used from emergency kits
• Monitor, maintain and ensure adequate office supply inventory
• Perform various collection functions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Process payments from insurance companies, posting to patient and third-party accounts.
• Continually look for process improvements to increase efficiencies in work performed.
• Adhere to all HIPAA guidelines/regulations.
• Perform additional duties as assigned by Supervisor.
• Knowledge of FrameworkLTC software preferred but not required.
• Pharmacy Technician experience preferred.

Education And/or Experience

• High School Diploma
• 2 years of billing experience required.
• Minimum 2 years’ experience working in professional office environment.
• Knowledge of FrameworkLTC software preferred but not required.
• Pharmacy Technician experience preferred.

Experience

• pharmacy: 1 year (Preferred)
• Long term care pharmacy: 1 year (Preferred)
• billing: 1 year (Required)