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Pharmacy Billing Specialist - Miamisburg, United States - Kettering Medical Center Network
Description
OverviewKettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life.
Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Responsibilities & RequirementsJob Title:
Pharmacy Billing Specialist
Collaborative Pharmacy Services- Long Term Care Pharmacy
Reports To:
Manager of Pharmacy
SUMMARY:
The Pharmacy Billing Specialist is responsible for reviewing claims, unit dose billing, processing EFT's and payments. Billing Coordinator will generate monthly invoices for all facilities and private pay patients. Additionally, the Billing Coordinator is key contact to facilities and patients for billing questions.
MAJOR AREAS OF RESPONSIBILITY:
Process EFT's
Process payments
Unit-dose billing
Fix insurance rejections
Process patient payer changes
Balance A//R
Generate monthly billing for facilities and patients
Generate end of month reports for facilities
Generate end of month reports for finance team
Contact facilities for late payments
Upload file to third party for private pay statement mailing
Answer facility and patient billing questions and resolve any issues
QUALIFICATIONS:
Education and Experience
General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.
Preferred health care, medicare and or pharmacy experience related to billing, claims and customer service
High School Diploma
National Pharmacy Technician Certification, ideal but not required
Registered Technician with the Ohio State Board of Pharmacy, ideal but not required
Accurate and detail oriented
Basic computer skills - Ability to use Microsoft Office
Exemplary communication skills and customer focus is a must
Ability to create positive impressions and communicate with a variety of people
Personable and courteous working relationships
Must have a very positive demeanor with co-workers and customers
Ability to multi-task and prioritize
Communicates effectively with team members
Strong interpersonal and effective communication skills
Self-driven
