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Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP’s) and Third-Party Insurances.
Duties
1. Runs daily ECS log report to identify denied claims for Medicare or other insurers.
2. Reviews and completes all denied claims in the ECS log for Medicare and other insurers
3. Requests prior authorization on drugs that are denied for prior authorization.
4. Obtains third-party insurance information on all necessary orders.
5. Bills any non-covered drugs to the appropriate party
6. Enters debit/credit adjustments in Framework as needed. Complete the Framework Adjustment Form and forward a copy to the Accounting Department.
7. Ensures patient profiles are updated with payor changes and exceptions.
8. Notifies facilities of changes and exceptions when appropriate.
9. Processes and prints all monthly facility invoices.
10. Assists with special projects as needed.
11. Meets Expectations of Excellence for position.
12. Supports location, departmental goals, and the overall objectives of the Company.
13. Complies with all laws, regulations and standards of ethical conduct.
14. Responsible for uncompromising levels of cleanliness and safety.
15. Leads by Example (LBE), upholds and promotes the culture, mission and values of the Company.
16. Performs all job duties with a friendly positive and team-oriented approach.
17. Maintains professional/technical competencies and proficiencies for job responsibilities.
18. Complies with all Company policies, procedures, rules and standards.
Qualifications
Licenses/Certifications
Experience
Let’s talk about benefits.
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
Physical setting:
Schedule:
Work Location: In person
Full Time
$39k-50k (estimate)
07/02/2023
06/01/2024
The job skills required for Pharmacy Billing Associate include Billing, Accounting, Microsoft Office, Health Care, Life Insurance, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Pharmacy Billing Associate. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Pharmacy Billing Associate. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Pharmacy Billing Associate positions, which can be used as a reference in future career path planning. As a Pharmacy Billing Associate, it can be promoted into senior positions as a Billing Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pharmacy Billing Associate. You can explore the career advancement for a Pharmacy Billing Associate below and select your interested title to get hiring information.