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Billing Representative

CareOne

divh2Billing Representative - Springfield, NJ/h2pGreat new career opportunity in long-term care pharmacy!/ppHours: M F 8:30 5:00/ppThe Billing Representative will be responsible for, but not limited to:/polliRespond to all voice messages and emails within 24-48 hours/liliTrack and enter daily census for assigned facilities./liliUpdate the system with face sheet information for residents in their assigned facilities./liliHandle facility and customer service inquiries./liliReview and update system with resident information received from returned contracts for assigned facilities./liliHandle re-bill rejections resulting from status changes for assigned facilities./liliOn a monthly basis, handles all aspects of facility and private billing for assigned facilities./liliOn a monthly basis, contacts Unysis, CMS, and facilities to follow up on pending Medicaid statuses./liliOn a weekly/bi-weekly basis, review the pre-billing report for their assigned facilities/liliMaintains and fosters positive work environment within the billing and admissions departments./liliCommunicates effectively with all company personnel./liliAware of all compliance documentation needed for Medicare B Billing requirements./liliFollow Up procedures-needs to be able to follow up with doctors and facilities for necessary Medicare B compliance documentation/liliReconcile claims including secondary claims/liliResearch the different reconciliation for each state/liliKeep complete files for each Med B patient./liliParticipates in ongoing education and new compliance issues for appropriate billing of Medicare B claims/liliMaintains confidentiality, security and integrity of PHI information/liliNeed to communicate any issues to Third Party manager that need to be addressed or any issues that need to be resolved./li/olpEducation:/ppHigh School Diploma or equivalent/ppProfessional Experience:/pulliExperience in long term care or retail pharmacy environment/lili1-3 years of Billing experience/liliExperience in Frameworks, a definite plus/liliCommunication, problem solving and organizational skills a must/liliMust be able to work in a fast pace environment and meet deadlines/liliTyping, computer and multi-tasking skills are a must/liliStrong customer service skills/li/ulpPartners Pharmacy - Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees./ppWe are proud to offer:/pulliCompetitive salaries/liliComprehensive healthcare benefits/lili401(k) retirement plan/liliPaid time off/liliOpportunities to advance and grow your career/liliAnd more!/li/ulpIf working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then youll appreciate being a part of our team. Weve built a strong reputation on the outstanding level of care that we provide./ppPartners Pharmacy is an Equal Opportunity Employer/ppEEO/AA/M/F/DV/p/div

Vacancy posted 2 days ago
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