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

• Monday–Friday, 8:30 AM to 5:00 PM
• Hybrid opportunity; applicants must reside in or be commutable to Louisville, KY

Benefits

• DailyPay
• Flexible schedules
• Competitive pay
• Shift differential
• Health, dental, vision, and life insurance
• Company-paid short-term and long-term disability
• Tuition assistance and reimbursement
• Employee discount program
• 401(k)
• Paid time off

Responsibilities

• Help manage staff appropriately and set clear expectations for performance.
• Work directly with Supervisor to develop audit criteria for productivity/accuracy metrics related to all pre-billing and reporting review.
• Prioritize and delegate job tasks to ensure timely completion.
• Support and manage business policies and procedures to maintain workflow standards.
• Conduct routine meetings with Supervisor and staff to review current state and engage all staff in discussion for improvement.
• Audit billing functions regularly for compliance to policies, procedures, and contract and government regulations.
• Assist Supervisor in overseeing daily billing activities per policies and procedures when necessary.
• Address performance and/or business issues while keeping direct manager informed.
• Participate on various billing-specific sub-groups to identify all attributes for best-practice implementation and influence development of policies and procedures, as well as identify appropriate training material and educational opportunities.
• Ensure appropriate, timely, and professional communications occur with implementation team, Account Management team, and Community staff as needed.
• Work and partner with other internal departments.
• Follow all applicable government regulations including HIPAA.
• Participate in projects and/or management meetings.
• Through interim statement review on a monthly basis, ensure charges are accurate.
• Review Community/resident bills and resolve any erroneous charges by adding and removing as necessary, and document in the client file with notes.
• Review and reconcile billing statements with private financial plans.
• Respond to Community/Resident disputes over billing of services.
• Work with responsible parties, handling inbound/outbound telephone calls, providing customer service by explaining why they are being billed.
• Work with Client Billing Coordinator/Supervisor in researching pharmacy accounts requiring special attention.
• Help 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.