Billing Specialist (Part-time)

Company Overview

TruCare Pharmacy is a dedicated long-term care pharmacy specializing in providing comprehensive medication management and pharmaceutical services to healthcare facilities. Our mission is to enhance the quality of life for patients through exceptional service and expert care.

Summary

Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.

Attributes Required:

• Must be self-motivated
• Must build relationships with customers, both facility and family
• Ability to think ahead, plan and manage time efficiently.
• Ability to analyze causes and solve problems independently
• Ability to work effectively and collaboratively with all team members.

Education and/or Certifications:

• High School Diploma or GED required.
• Pharmacy Technician license

Skills and Qualifications:

• 1 years of related experience
• Advanced computer skills; pharmacy information system experience preferred.
• Ability to work independently and deliver to deadlines.
• Strong attention to detail and accuracy
• Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
• Quality minded; motivated to seek out errors and inquire about inaccuracies.

Essential Job Functions (include the following):

• Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enter and/or update patient/insurance information into pharmacy information system .
• Maintain and continually audit patient files and corresponding documentation necessary to prepare for third party audits and ensure payer and company compliance.
• Accurately enter patient information into the pharmacy system.
• Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits in a timely manner.
• Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
• Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
• Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
• May pursue payment from delinquent accounts and make payment arrangements.
• Research, identify and organize requested audit documentation in timely manner.
• Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
• Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
• Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
• Follow all applicable government regulations including HIPAA.
• Work as a collaborative team member to meet the service goals of the pharmacy.
• Other essential functions and duties may be assigned as needed.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the job.

• The noise level in the work environment is usually low to moderate.
• Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
• Requires desk work in office environment.
• Ability to work flexible hours.

Sschedule:

• Shifts are flexible
• Day shift only
• Monday-Friday

This pharmacy is located in Fort Smith, Arkansas.

If you are ready to make a difference in the healthcare industry with your expertise in billing, we invite you to apply today and join our dedicated team at TruCare Pharmacy.

Job Type: Part-time

Pay: $15.00 - $20.00 per hour

Expected hours: 10 – 20 per week

Benefits:

• Flexible schedule

Schedule:

• Monday to Friday
• No nights
• No weekends

Work Location: In person

Salary : $15 - $20