Lead Billing Coordinator

Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!

Schedule

Mon-Fri (8:30am to 5pm). This is a hybrid opportunity. Applicants must reside in, or be within commutable distance to, Louisville, KY.

Benefits

• DailyPay
• Flexible schedules
• Competitive pay
• Shift differential
• Health, dental, vision, and life insurance benefits
• Company-paid short-term and long-term disability
• Tuition assistance
• Employee discount program
• 401k
• Paid-time off
• Tuition reimbursement
• Non-retail/closed-door environment

Responsibilities

• Helps manage staff appropriately and sets clear expectations for performance.
• Works directly with Supervisor to develop audit criteria for productivity/accuracy metrics related to all pre-billing and reporting review.
• Prioritizes and delegates job tasks to ensure timely completion.
• Supports and manages business policies and procedures to maintain workflow standards.
• Conducts routine meetings with Supervisor and staff to review current state and engage all staff in discussion for improvement.
• Audits billing functions regularly for compliance to policies, procedures, and contract and government regulations.
• Assists Supervisor in overseeing daily billing activities per policies and procedures when necessary.
• Addresses performance and/or business issues while keeping direct manager informed.
• Participates in various billing-specific sub-groups to identify all attributes for best practice implementation and influences development of policies and procedures, as well as identifies appropriate training material and educational opportunities.
• Ensures appropriate, timely, and professional communications occur with implementation team, Account Management team, and Community staff as needed.
• Works and partners with other internal departments.
• Follows all applicable government regulations including HIPAA.
• Participates in projects and/or management meetings.
• Through interim statement review on a monthly basis, ensures charges are accurate.
• Reviews Community/resident bills and resolves any erroneous charges by adding and removing as necessary, and documenting in the client file with notes.
• Reviews and reconciles billing statements with private financial plans.
• Responds to Community/Resident disputes over billing of services.
• Works with responsible parties, receiving inbound/outbound telephone calls, providing customer service through explaining why they are being billed.
• Works with Client Billing Coordinator/Supervisor in researching pharmacy accounts requiring special attention.
• Helps maintain new communities onboarding and master contact sheet by utilizing QuickBase to track and load information.

Requirements

• High School Diploma/GED required
• Kentucky Pharmacy Tech License preferred
• Excellent customer service and communication skills, both written and verbal
• Ability to prioritize and meet pre-determined deadlines
• Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
• Experience in healthcare billing environment (pharmacy preferred)
• Familiarization with online claims processing and Medicaid and Medicare billing practices
• Proficient with Microsoft Word & Excel required

About Our Line of Business

Pharmacy Alternatives®, an affiliate of PharMerica, is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities (I/DD). Pharmacy Alternatives offers long-term pharmacy solutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living, or foster care. Our state-of-the-art approach includes packaging technology specially designed for the population we serve and electronic medication management that helps people live their best lives.