Billing Technician - Pharmacy - Americare Senior Living
Cookeville, TN 38506
About the Job
Who We Are
At Americare we make a difference in the everyday lives of others and we are proud of the work we do. We have created communities that embrace our team members like family. We have a culture of recognition, empowerment and a side of fun. Our senior living communities are places where excellence thrives and that we call home.
Americare has earned certification as a Great Place to Work Certified Company and is on the 2022 Best Workplaces in Aging Services, Great Place to Work® list. We ranked #8 Fortune Best Workplaces in Aging Services™ 2022 for Senior Housing Large.
We provide competitive compensation with annual performance wage rate increases.
A few reasons to come work with us:
- Recognition and Appreciation from Supervisors
- Family Atmosphere
- Paid Time Off at 90 Days of Employment
- Access to wages daily
- Bonus opportunities and Annual wage increases
- Tuition Assistance
- Great Teamwork
- Purposeful work by enriching the lives of the elderly
- Health, Dental, vision, Disability and Life Insurances
- 401(k) plan with company contributions
Americare Senior Living named as one of the 2022 Best Workplaces in Aging Services™
Position Summary:
Pharmacy billingincludes processing claim adjudication, error resolutions, priorauthorizations, delinquent accounts, and providing customer service to LTC andALF facilities. May require maintaining computerized records, entry of patientspecific information. Direct supervisor is the Billing Supervisor. Works underthe direction of licensed pharmacists.
Essential Functions:
Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
- Knowledge of insurance and the ability to work with insurance and the facilities to obtain Prior Authorizations.
- Knowledge of Accounts Receivable reports, Delinquent Account report, Error Resolution, and Audits
- Contact nursing facilities to note any concerns and to offer customer support.
- Understanding written work related documents. Using mathematics to problem solve.
- Communicating with others in a supportive and functional capacity.
- The ability to read and understand information and ideas presented.
- May be required to assist pharmacist to prepare and label medications.
- May be required to prepare prescribed medication and/or prepare labels under the direction of the pharmacist.
- Knowledge of office procedures, computer skills, fax, copier etc.
- Building positive relationships with nursing facility staff
Critical Functions:
Full or part time asneeded. Assures smooth and efficient operations processing nursing facility’sresident prescriptions. Ability to handle computer tasks of some complexity andvariety in an independent and responsible manner. Ability to work accuratelyand efficiently with attention to detail while following established protocol.Ability to utilize computer and learn required software as designated bycompany protocol. Must have communication skills to interact with SNF, ALFstaff and Third Party Vendors.
Qualifications/Education/Experience/Skills:
- Minimal 18 years of age.
- Basic knowledge of billing. PTCB certification is not required
- TN registration
- Detail oriented and ability to maintain accuracy.
- Ability to maintain confidentiality related to facility and residents medical information.
Key Competencies:
- Ability to communicate pharmaceutical information and demonstrate professional behavior while adhering to HIPPA regulations regarding confidentiality.
- Perform data entry duties with an eye for detail and accuracy.
- Maintain accurate records; communicate through reports or verbal dialogue to supervisor areas of concern.
- Utilize office technology including computer, software program, copier, etc.
- Display professional and appropriate appearance and behavior at all times. We offer employees access to wages on demand