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: Works under minimal supervision.
Job Summary: Assist in centralized billing of all claims
ResponsibilitiesJob Duties:
Responsible for accurate data entry of resident insurance information.Review of resident face sheets and make corrections if needed.Verify and change any financial pay statuses.Provides customer service and problem resolution to assigned facilitiesIdentify errors that caused claim denial dailyCorrect all necessary data Re-bill claims as neededInteract with HealthDirect employees and various outside agenciesAssist in the overall automation of billing procedures Assist end of month bill processVisit clients to go over monthly billing statement Responsible for completing all mandatory and regulatory training programsPerform other duties as assigned QualificationsAttendance Requirements:
Must be available, and on-time for scheduled work shiftsMust be able to work nights and weekends as required.
Educational Requirements:
Minimum: High School DiplomaPreferred: AS Degree or Higher in Business Administration or related field
Experience:
Preferred: 1 to 2 years Medicare billingPreferred: General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.
Required (Vermont Employees):
Registered with the State of Vermont as a Pharmacy Technician I have read and understand the above job description, and believe that I will be able to perform the above duties with training.
Special Conditions of Employment:
Drug testInitial and continuous exclusion and sanction/disciplinary monitoringAny and all additional eligibility requirements based on the specific position
Job Skills Required:
Excellent phone communication skillsStrong organizational skillsGeneral computer and keyboarding skillsAbility to complete responsibilities with minimal supervisionSuccessful completion of a pre-employment and/or random drug screening test
Required Training:
HIPPA Privacy Course HIPPA Security CourseFraud, Waste, and Abuse Course
Behavioral Traits Required:
Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other 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 teamsCompensation:
$18.44 - $24.01 an hour
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.
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