Billing Representative

Great new Career Opportunity in Long-Term Care Pharmacy!

Now Hiring - Billing Representative - Springfield, NJ 

Hours: M – F 8:30 – 5:00

The Billing Representative will be responsible for, but not limited to:

• Respond to all voice messages and emails within 24-48 hours

• Track and enter daily census for assigned facilities.

• Update the system with face sheet information for residents in their assigned facilities.

• Handle facility and customer service inquiries.

• Review and update system with resident information received from returned contracts for assigned facilities.

• Handle re-bill rejections resulting from status changes for assigned facilities.

• On a monthly basis, handles all aspects of facility and private billing for assigned facilities.

• On a monthly basis, contacts Unysis, CMS, and facilities to follow up on pending Medicaid statuses.

• On a weekly/bi-weekly basis, review the pre-billing report for their assigned facilities

• Maintains and fosters positive work environment within the billing and admissions departments.

• Communicates effectively with all company personnel.

• Aware of all compliance documentation needed for Medicare B Billing requirements.

• Follow Up procedures-needs to be able to follow up with doctors and facilities for necessary Medicare B compliance documentation

• Reconcile claims including secondary claims

• Research the different reconciliation for each state

• Keep complete files for each Med B patient.

• Participates in ongoing education and new compliance issues for appropriate billing of Medicare B claims

• Maintains confidentiality, security and integrity of PHI information

• Need to communicate any issues to Third Party manager that need to be addressed or any issues that need to be resolved.

Education: 

High School Diploma or equivalent

Professional Experience:

• Experience in long term care or retail pharmacy environment

• 1-3 yeas of Billing experience

• Experience in Frameworks, a definite plus

• Communication, problem solving and organizational skills a must

• Must be able to work in a fast pace environment and meet deadlines

• Typing, computer and multi-tasking skills are a must

• Strong customer service skills