Billing Associate - Long Term Care

KPH Healthcare Services - North Syracuse, NY2.2

Full-timeEstimated: $28,000 - $39,000 a year
EducationSkills
Overview
For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group homes.”. On a daily basis our team provides prescription medications, over-the-counter products, clinical consulting services, and specialty pharmacy services to more than 50,000 residents.

HealthDirect is a division of KPH Healthcare Services, a billion dollar, 100% employee owned provider of pharmaceutical and healthcare services. KPH is comprised of four divisions – Kinney Drugs, ProAct Inc., HealthDirect and Noble Health Services. The family of KPH Healthcare Services began with Kinney Drugs retail in 1903. All KPH family company values stem from Kinney’s long-standing commitment to trust and community-minded health solutions.

As a team, HealthDirect has achieved significant growth. Over the past 6 years we have grown from four pharmacies in two states to 20 pharmacies across eight states. Our team has grown to over 900 employees and we are looking to add another – possibly you!

Job Summary:
Assist in centralized billing of all claims

Responsibilities

Job Duties:
Responsible for accurate data entry of resident insurance information.
Review of resident face sheets and make corrections if needed.
Verify and change any financial pay statuses.
Provides customer service and problem resolution to assigned facilities
Identify errors that caused claim denial on a daily basis
Correct all necessary data
Re-bill claims as needed
Interact with Kinney Employees (Store and Corporate) and various outside agencies
Assist in the overall automation of billing procedures
Assist end of month bill process
Visit clients to go over monthly billing statement
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned

Qualifications

Educational Requirements:
Preferred: AS Degree or Higher in Business Administration or related field
Minimum: High School Diploma

Experience:
Preferred: 1 to 2 years Long Term Care pharmacy billing
Preferred: General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.

Required (Vermont Employees):
Registered with the State of Vermont as a Pharmacy Technician

Special Conditions of Employment:
Criminal background check and/or drug test
Initial and continuous exclusion and sanction/disciplinary monitoring

Job Skills Required:
Excellent phone communication skills
Strong organizational skills
General computer and keyboarding skills
Ability to complete responsibilities with minimal supervision
Successful completion of a pre-employment and/or random drug screening test

Required Training:
HIPAA Privacy Course
HIPAA Security Course
Fraud, Waste, and Abuse Course
MethGuard Course

Behavioral Traits Required:
Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other 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

Attendance Requirements:
Must be available, and on-time for scheduled work shifts
Must be able to work nights and weekends as required.