Billing Representative

Great new Career Opportunity in Long-Term Care Pharmacy!

Now Hiring - Billing Representative - Springfield, NJ

Hours: M – F 8:30 – 5:00

The Billing Representative will be responsible for, but not limited to:

• Respond to all voice messages and emails within 24-48 hours
• Track and enter daily census for assigned facilities.
• Update the system with face sheet information for residents in their assigned facilities.
• Handle facility and customer service inquiries.
• Review and update system with resident information received from returned contracts for assigned facilities.
• Handle re-bill rejections resulting from status changes for assigned facilities.
• On a monthly basis, handles all aspects of facility and private billing for assigned facilities.
• On a monthly basis, contacts Unysis, CMS, and facilities to follow up on pending Medicaid statuses.
• On a weekly/bi-weekly basis, review the pre-billing report for their assigned facilities
• Maintains and fosters positive work environment within the billing and admissions departments.
• Communicates effectively with all company personnel.
• Aware of all compliance documentation needed for Medicare B Billing requirements.
• Follow Up procedures-needs to be able to follow up with doctors and facilities for necessary Medicare B compliance documentation
• Reconcile claims including secondary claims
• Research the different reconciliation for each state
• Keep complete files for each Med B patient.
• Participates in ongoing education and new compliance issues for appropriate billing of Medicare B claims
• Maintains confidentiality, security and integrity of PHI information
• Need to communicate any issues to Third Party manager that need to be addressed or any issues that need to be resolved.

High School Diploma or equivalent

• Experience in long term care or retail pharmacy environment
• 1-3 yeas of Billing experience
• Experience in Frameworks, a definite plus
• Communication, problem solving and organizational skills a must
• Must be able to work in a fast pace environment and meet deadlines
• Typing, computer and multi-tasking skills are a must
• Strong customer service skills