Assistant Billing Clerk

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

Under general supervision bills insurance and cash beneficiaries, according to current drug prices. Works with management and fellow employees to make sure all prescriptions are billed prior to leaving the pharmacy and does related work as required. 

Responsibilities

• Bills all prescriptions on Beneficiary accounts in computerized system QS/1. Takes care of all reports on billing of prescriptions such as, but not limited to: VER reports, ect.

• Gathers all information for audits to be given to Pharmacy Director for final check. Responds to Beneficiary billing inquiries.

• Helps with month end procedures including but not limited to AR credits and reports.

• Expense Verification Requests for clients Supply Ordering, restocking Helps processing technicians with data entry for new clients.

• Control Reporting Discontinue Clients in QS/1 Takes client payments over the phone.

• Helps cover the front desk during receptionist breaks and lunches.

Competencies

• To perform the job successfully, an individual should demonstrate the following competencies:

Pharmacy Knowledge

• Must have understanding of standards of patient confidentiality and ethics governing pharmacy practice.

Communication

• Communicates effectively verbally and in writing.

Customer Service

• Manages difficult or emotional customer situations; responds promptly to customer needs.

Organization

• Prioritizes work activities; uses time efficiently using initiative and judgment in dealing with workflow and uncertain situations; works effectively under narrow time limitations.

Accounting

• Comprehends and uses basic accounting terminology and formats; posts data and makes arithmetic calculations with speed and accuracy; uses a calculator; establishes and maintains efficient filing and records; operates data entry equipment and types at a rate of 40 WPM.

Quality/Quantity

• Follows verbal and written instructions; maintains effective work relations with those encountered in the course of employment; looks for ways to improve and promote quality; demonstrates accuracy and thoroughness; meets productivity standards and strives to increase productivity.

Analytical

• Uses intuition and experience to complement data.

Communication

• Communicates effectively; Verbally and in writing.

Problem Solving

• Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully: Develops alternative solutions: Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

Technical Skills

• Strives to continuously build knowledge and skills; Shares expertise with others.

Interpersonal Skills

• Focuses on solving conflict, not blaming; Maintains confidentially; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ ideas and tries new things.

Oral & Written Communication

• Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions. Writes Clearly and informatively; Able to read and interpret written information.

Teamwork

• Exhibits objectively and openness to others’ views; Gives and welcomes feedback: Contributes to building a positive team spirit.

Diversity

• Demonstrates knowledge of EEOC policy; Shows respect and sensitivity for cultural differences; Supports affirmative action and respects diversity.

Ethics

• Treats people with respect; Works with integrity and ethically: Upholds organizational values.

Planning/Organizing

• Uses time efficiently.

Professionalism

• Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration, regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

Attendance/Punctuality

• Is consistently at work and on time.

Dependability

• Follows instructions, responds to management direction.

Initiative

• Asks for and offers help when needed.

Qualifications

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education and/or Experience – High School Diploma or GED.

• Language Skills – Ability to read and comprehend simple instructions, short correspondence, and memos.  Ability to write simple correspondence.  Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization.

• Mathematical Skills – Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

• Reasoning Ability – Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

• Computer Skills – QS/1 and other computer programs as applicable.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle or feel.  The employee is frequently required to reach with hands and arms and talk or hear.  The employee is occasionally required to stand and walk.  Specific vision abilities required by this job include close vision.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.