Revenue Qualifying Specialist - PharmScript, LLC

Overview:

PharmScript is one of the nation's leading pharmacies, partnering with long-term and post-acute care facilities to supply medications to thousands of residents and patients. When you join the PharmScript family, you join the ranks of more than 2,000 dedicated people across the country who help to get safe, accurate, and timely medication to those who need it most.

 

Job Summary:

We’re looking for a Revenue Qualifying Specialist to join our PharmScript team within our Revenue Cycle Operations department. As a Revenue Qualifying Specialist, the ideal candidate ensures that all outstanding census-related tasks are completed. The ideal candidate is a people person who enjoys troubleshooting and resolving problems and is dedicated to helping customers. For you, no task feels too small and no challenge impossible. Excellent communication and interpersonal skills are essential.

Responsibilities:

• Responsible for entering and tracking all daily census and face sheets from Beneficiary Facilities for correct Billing to Medicare, Medicaid, and Private Insurances
• Contacting the facility on the status of Medicaid pending residents
• Communicate with Business Office Managers, Directors of Nursing and/or Administrators at the long-term care facilities as needed
• Timely verification and entry of customer information
• Maintain accurate and complete census records concerning patient billing activity
• Meet all census deadlines designated by customer expectations and contractual agreements
• Work and partner with other internal and external departments to resolve issues
• Follow all applicable government regulations including HIPAA
• Other related processes and job duties, as assigned

Qualifications:

• High School diploma or equivalent
• Able to work independently as well as in a diverse, team environment
• Reliable, able to work under pressure and meet deadlines
• Excellent communication skills, professional demeanor
• Detail oriented, excellent organizational skills

Physical Demands and Work Environment:

The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:

• May sit or stand seven (7) to ten (10) hours per day
• The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, crouch, walk, crawl intermittently
• May be necessary to work extended hours as needed
• May lift and/or move up to 25 pounds
• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role

Knowledge, Skills, and Abilities:

• Strong problem-solving skills
• Effective communicator
• Quick and independent learner
• Availability to work overtime, holidays, and weekends as needed

We Offer:

PharmScript offers a robust suite of benefits to support employees and their families.

Health and Wellness Benefits

• Medical, Prescription Drug, Dental, and Vision coverage for you and your eligible dependents
• Maternity care program and infertility services
• Tax-favored Health Savings Accounts, Healthcare, and Dependent Care Flexible Spending Accounts.
• EAP Assistance Program with 24/7 access to free counseling, legal guidance, and financial resources

Paid Time Off and Holidays

• 15 PTO days annually and 6 paid/floating holidays

Retirement Planning

• 401(k) retirement planning with company match

Commuter Benefits

• Transit/Parking Spending Account

Voluntary Benefits

• Employee Life and Accidental Death & Dismemberment, Short/Long-term Disability, Critical Illness, Accident, and Hospital Indemnity plans are available for you and eligible dependents,

Other Perks and Benefits

• Legal & Identity Theft Protection Programs
• Employee Discounts: Instant savings on hundreds of products and services
• Pet Insurance
• Employee Support Program to eligible employees in times of urgent need

Pay Transparency:

To reinforce our commitment to fair and equal pay transparency, PharmScript’s compensation is based on multiple non-discriminatory, individualized factors including but not limited to experience, job-related knowledge, education, skills, and office/market location.

EEO Statement:

PharmScript is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Min:USD $18.00/Hr.Max:USD $22.00/Hr.