Accounts Receivable Pharmacy Technician

Young At Heart Pharmacy Indianapolis , IN 46218

Posted 2 months ago

Mission

Ensure prescriptions are dispensed to eligible patients and billed properly in accordance with their benefit plan.

Duties and responsibilities

  • Perform Billing duties as needed

  • Understand the pharmacy front-end process and perform point of sale functions (adjudication)

  • Contact payors and/or other outside agencies to verify information and resolve common, non-clinical problems

  • Run weekly billing reports

  • Obtain accurate billing and resident information, and rebill and resolve unpaid claims through adjudication

  • Re-bill and reconcile all incorrectly billed, non-clinical third party denials

  • Identify and resolve and process denied claims in a timely manner

  • Document all communication concerning denied claims and any resolution communicated to facility or physicians

  • Obtain Prior Authorizations and non-covered forms

  • Obtain Part B documentation

  • Assist with billing DME supplies on line (Medicaid)

  • Resolve Hospice denials and communicate to Hospice nurses any denied claims

  • Adhere to and demonstrate mastery of current operating procedures

  • Use DocuTrack skills to locate specific documents and fax documents to facilities and/or for audit purposes

  • Stay in line with End of Month process's and deadlines

  • Ensure customer requests are handled quickly and professionally

  • Communicate effectively with customers to resolve billing inquiries

  • Communicate effectively with third party payors to resolve denied claims

  • Complete and verify pricing requests for customers

  • Direct specific inquiries to the appropriate team / individual

  • Maintain a positive, pleasant demeanor with all customers

  • Utilize robust problem-solving and people skills, patience, and telephone etiquette

  • Document customer issues using CPAS form and communicate to management

  • Work with Billing/Collection Managers on special projects as needed

  • Other duties as assigned

Qualifications

  • At least 1 year of billing experience

  • Proficient in Microsoft word and Excel

  • Previous experience in a pharmacy is a plus

Working conditions

  • The normal working hours for an Adjudication Technician are generally Monday through Friday from 9:00am-6:00pm but may be adjusted on a case-by-case basis.

o Rotating Saturdays after fully trained

  • This position may also include sitting for long periods of time

Physical requirements

  • Able to sit for 8 or more hours a day

Direct reports

  • None
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Accounts Receivable Pharmacy Technician

Young At Heart Pharmacy