Overview

Scope of Responsibilities : The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances

Job Summary: The following are the duties performed by employees in this classification.

Responsibilities

Job Duties:

• Face-sheet and census entry to ensure accurate billing.

• Verifying primary and secondary insurance coverage on residents.

• Provide customer service and problem resolution to facilities and residents.

• Account reconciliation and account refund requests

• Complex account reconciliation

• Account adjustments, bad debt processing

• Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up

• Track and re-bill pending Medicaid accounts

• Re-bill claims as needed

• Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.

• Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.

• Recognize and rectify any errors made within an account

• Set up Lawson accounts for facility and private pay

• Month-end closing process

• Re-bill claims to improve reimbursement from NETRX reporting

• Assist in special projects as required

• Works with minimal supervision

• May assist in orienting and training new employees

• Responsible for completing all mandatory and regulatory training programs

• Perform other duties as assigned

Qualifications

Attendance Requirements:

• Must be available, and on-time for scheduled work shifts

Educational Requirements:

• Required: High School Diploma or GED

• Preferred: Associates Degree or Higher in Accounting or related field

Experience:

• Preferred: Experience in Accounts Receivable Department or Collections preferred, but not required

Required (Vermont Employees):

• Registered with the State of Vermont as a Pharmacy Technician

Special Conditions of Employment:

• Drug test

• Initial and continuous exclusion and sanction/disciplinary monitoring

• Any and all additional eligibility requirements based on the specific position

Job Skill Requirements:

• Assertive interpersonal communication skills

• Strong understanding of computer technology

Behavioral Traits Required:

• Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with

• Initiative: Must work within supervision guidelines and assume additional responsibilities

• Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work

• Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences

• Involvement: Must enjoy the demands of the job and work with interest and enthusiasm

• Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately

• Safety: Must take care of equipment and employ good safety habits

• Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams

Compensation:

$18.00-22.00 an hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13275/pharmacy-billing-associate/job?mode=apply&apply=yes&in_iframe=1&hashed=-336031866)

Job Locations US-NY-E Syracuse

Posted Date 2 months ago (10/7/2024 10:37 AM)

Requisition ID 2024-13275

# of Openings 1

Category Accounting/Finance

Location : Location US-NY-E Syracuse