What are the responsibilities and job description for the Pharmacy Billing Spec - Collaborative Pharm Serv - Miamisburg - FT/Days position at Kettering Health?
Overview
Kettering 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 & Requirements
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
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
