Billing Specialist

Sterling Long Term Care Pharmacy in Owatonna, MN is part of Astrup Companies, an innovative, growing, family-owned business located in Mendota Heights, MN. We have a rich, 70 year history, with companies servicing every aspect of the pharmacy industry. As an employee of Sterling Long Term Care Pharmacy, you can expect to be treated with care and respect. 

• Looking for a Full-time (40 hours/week) candidate.
• We offer Full health benefits, a 401(k) program with a company match and a Profit Sharing bonus program.
• This is a closed door pharmacy with no direct patient contact.

To learn more about Astrup Companies and our history, click this link: https://astrupcompanies.com

Qualifications:                 

·         Required:             

o   High School Graduate or equivalent

o   Ability to use a computer keyboard and 10-key calculator

o   Knowledge of Medicare, Medicaid and private 3PP billing

·         Preferred

o   1 to 3 years Health care and billing experience

Job Description: The Sterling Long-Term Care Billing Specialist assists in the entire billing and collection cycle. The Billing Specialist completes hard copy third payer billing forms and submits documentation to respective payers.  The Billing Specialist also completes monthly statements for facility and private payers; identifies and resolves incomplete and inaccurate billing information to resolve payment problems; and works with stores to maintain acceptable aging parameters.

Core Competencies and Responsibilities:

• Ensures completion or receipt of all documents needed for billing and all other documents, as appropriate. Checks all billing, line by line, to make sure that the claim is billed to the proper payer source, in the proper billing format, with the appropriate codes and quantities.
• Maintains billing files on all assigned patients and generates billing statements to payers and customers in a timely manner.
• Works with customers to resolve issues or questions on billings.
• Researches outstanding account balances and takes the steps necessary to resolve payment issues.
• Prepares reports as assigned by supervision. Utilizes computer-generated reports to monitor and maintain appropriate billing practices
• Ensures competence in all aspects of provider’s payment policies. Accesses information on medical justification and revenue qualification to maximize reimbursement rates and levels
• Communicates payer guidelines clearly to all staff impacted
• Fully understands the computer billing system and enters all information in the various fields as required. Utilizes various computer reports to help identify and resolve issues with problem claims
• Performs any other duties as assigned

Performance Requirements:

• Possess a thorough knowledge of organizational policies, procedures, and systems
• Comply to all Astrup Companies policy and procedures
• Create a culture of positivity and excitement within the workplace
• Develop constructive and cooperative working relationships with other team members. Care. Respect their time, work and talents.
• Be able to multitask
• Be focused and disciplined
• Possess excellent organizational skills, with attention to detail and accuracy
• Be self-motivated and able to work well on an independent basis
• Display strong customer service skills
• Innovate - Think outside-the-box. Bring original ideas to the team/organization
• Embrace our Guiding Principles. Use them to guide decision making.
• Go Beyond!

Physical Requirements and Work Demands:

• Requires the ability to work up to 40 hours per week as scheduled.
• In a typical 8-hour day, the candidate can lift of carry items up to approximately 30 pounds and sit approximately 6 hours
• In a typical day, the candidate can spend 2 hours on the telephone and 6 hours on a computer

Working Environment:

Normal pharmacy office environment