Pharmacy Biller

Job Duties

• Generate statements, insurance forms, and patient bills according to daily schedule.
• Retrieve dictated reports or progress notes.
• Review all reports for medications listed and forward errors to Excelsia Physician’s office for corrections.
• Forward billing errors to the treating offices for review and/or corrections.
• Finalize and prepare bills and documents for submission (electronic and paper).
• Communicate with pharmacy staff to obtain accurate information.
• File fee review for denied bills (worker’s compensation claims).
• Submit New Jersey precerts for NJ MVA.
• Translate Spanish speaking patient information to pharmacist and staff to ensure medication safety.
• Other duties as assigned.

Collecting

• Review AR and follow up on unpaid accounts (includes sending attorney ledgers).
• Review accounts in all databases (where applicable) for accuracy.
• Forbid the following adjustments /corrections to the designated employees at the Corporate Office: write offs, payment adjustments, refunds, etc.
• Aid attorneys, adjustors, and patients with account information and billing questions.
• Obtain billing information if missing.
• Complete daily A/R log.
• Communicate with Corporate Office or other office staff as necessary.
• Other duties as assigned.

Minimum Requirements

• High School diploma or GED equivalent.
• Working knowledge of insurance billing and collection procedures.
• Somewhat knowledge in Worker's Compensation billing would be advantageous.

Additional Skills/Competencies

• Excellent verbal and written communication skills.
• Knowledge of computer applications, including Windows, Outlook, and Microsoft Office.
• Problem solving and organizational skills.
• Typing – 50+ WPM.
• Knowledge of insurance plans, workers’ compensation, and personal injury, accounting.
• Ability to effectively interact with doctors, attorneys, patients, and co-workers.

Physical/Mental Requirements

• Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.

Diversity Statement

Excelsia Injury care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin, or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.