Pharmacy Billing Specialist - Full Time - Bingham Farms
GENERAL SUMMARY:
The Pharmacy Billing Specialist is responsible for the Henry Ford Pharmacy patients account payments and deposits across all pharmacy locations. Identifies and determines, in accordance with established policies and procedures, the accuracy and completeness of patient insurances, payments and demographics. Responsible for answering inbound phone calls, assisting with billing and collection of all pharmacy revenue, as well as providing pharmacy support as needed. Additionally works with collections agencies on delinquent accounts.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
- Accept inbound customer calls and provide accurate, satisfactory answers to their queries and concerns
- De-escalate situations involving dissatisfied customers offering assistance and support
- Provide support to internal and external customers regarding pharmacy copays, claims rejections, rebills, etc.
- Verifies patient insurance coverage and makes necessary changes in pharmacy system.
- Accept and process all patient account payments.
- Generate and prepare all monthly patient account statements.
- Ensure that all financial adjustments are posted accurately.
- Reconcile and deposit all pharmacy revenue collected.
- Monitor and manage various queues within pharmacy system
- Evaluate and validate patient credit card information within pharmacy and billing software systems, ensuring that all information is current and accurate
- Sort and retrieve all outgoing and incoming mail
- Evaluate and investigate appropriation to be taken to resolve delinquent account balances, which may include suspension of account usage and reporting account balances to collections agency
- Identify and resolve credit balances and understand the impact on patient responsibility and third-party refunding
- Identifies and reports potential issues to leadership.
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.
EDUCATION/EXPERIENCE REQUIRED:
- Associates Degree or higher preferred.
- Minimum one (1) year call center experience required.
- Pharmacy experience preferred.
- Ability to analyze and improve billing procedures required.
- Strong understanding and knowledge of medical/clinical and pharmacy terminology.
- Working knowledge of personal computers, and business software such as Microsoft Office.
- Organizational and time management skills, as evidenced by the capacity to prioritize multiple tasks and job duties/responsibilities.
- Strong interpersonal communication skills and experience with interacting with customers.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.