Billing Representative I Pharmacy
Company: Advocate Christ Medical Center
Posted on: August 3, 2022
Billing Representative I Pharmacy Job ID: R16393 Shift: 1st
Full/Part Time: Full_timeLocation: 2307 S Business Dr Sheboygan, WI
53081Benefits Eligible: Yes Hours Per Week: 40Schedule
- Monday to Friday 8:00am to 4:30pm
- Positionis a blended work model with being mostly remote but
will require to be in office one day per week, occasionally more
dependent on responsibilities.Reconciles and posts payments.
Monitors simple to moderately complex assigned accounts, corrects
billing errors, identifies delinquent payments and re-submits as
necessary. Conducts prompt collection of accounts receivable and
resolution of problems that are delaying payment.Posts payments and
reviews assigned accounts for any internal or external problems
that may cause a delay in payment. Analyzes available information
and decides course of action.Contacts insurance companies or any
other person, organization or department whose assistance is needed
to obtain payment of pharmacy claim, until it is paid or
rejected.Responds to telephone or written inquiries from insurance
companies, employers, state agencies and patients regarding
insurance claims. Process rejections by billing the patient; or
resolving problems, and having the claim resubmitted for payment.
Applies contractual allowances where necessary.Acts as a resource
person for the pharmacies on all issues relating to the assigned
insurance type: i.e., commercial, HMO or government agency. Updates
Manager and co-workers on all changes and new procedures. Maintains
a basic knowledge of any contracts relating to assigned insurances.
Notifies Manager and/or Lead of any contract issues that
arise.Evaluates aged claims for probability of payment and refers
those unlikely to be paid to collection as necessary.Required
- Typically requires 1 year of experience in medical billing in a
health care setting. Knowledge, Skills & Abilities
- Proficient knowledge base and understanding of department
specific billing procedures.
- Proficiency in accounting and computerized patient accounting
- Knowledge of medical terminology. Good communication, analytic,
and organizational skills with the ability to clearly explain/
discuss issues on the telephone. Licenses & Certifications
- None Required. Degrees
- High School Graduate. What We'd Like to See
- Ideally would like some background in billing and working with
audits, pharmacy knowledge would be a plus.
Keywords: Advocate Christ Medical Center, Sheboygan , Billing Representative I Pharmacy, Accounting, Auditing , Sheboygan, Wisconsin
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