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!
Scope of Responsibilities: The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances
Job Summary: The following are the duties performed by employees in this classification.
ResponsibilitiesJob Duties:
Face-sheet and census entry to ensure accurate billing. Verifying primary and secondary insurance coverage on residents. Provide customer service and problem resolution to facilities and residents.Account reconciliation and account refund requestsComplex account reconciliation Account adjustments, bad debt processingThird party, Medicare, Managed Care, and private billing, claim corrections and follow-upTrack and re-bill pending Medicaid accounts Re-bill claims as neededIdentify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.Recognize and rectify any errors made within an accountSet up Lawson accounts for facility and private payMonth-end closing processRe-bill claims to improve reimbursement from NETRX reporting Assist in special projects as requiredWorks with minimal supervisionMay assist in orienting and training new employeesResponsible for completing all mandatory and regulatory training programsPerform other duties as assigned Qualifications
Attendance Requirements:
Must be available, and on-time for scheduled work shifts
Educational Requirements:
Required: High School Diploma or GEDPreferred: Associates Degree or Higher in Accounting or related field
Experience:
Preferred: Experience in Accounts Receivable Department or Collections preferred, but not required
Required (Vermont Employees):
Registered with the State of Vermont as a Pharmacy Technician
Special Conditions of Employment:
Drug testInitial and continuous exclusion and sanction/disciplinary monitoringAny and all additional eligibility requirements based on the specific position
Required Training:
HIPPA Privacy Course HIPPA Security Course
Job Skill Requirements:
Assertive interpersonal communication skillsStrong understanding of computer technology
Behavioral Traits Required:
Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact withInitiative: Must work within supervision guidelines and assume additional responsibilitiesFlexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned workAdaptability: 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 experiencesInvolvement: Must enjoy the demands of the job and work with interest and enthusiasmCustomer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriatelySafety: Must take care of equipment and employ good safety habitsLeadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQsSoftware Powered by iCIMS
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