Billing & Account Specialist

Job Description

Job Description

Benefits :

401(k)

Competitive salary

Dental insurance

Employee discounts

Flexible schedule

Health insurance

Opportunity for advancement

Paid time off

Profit sharing

Training & development

Vision insurance

Wellness resources

Billing & Account Specialist

Plymouth, MN

Thrifty White Pharmacy is seeking a Billing & Account Specialist in Plymouth, MN to provide excellent customer service as the main contact for customers and pharmacy personnel via phone and in writing.

This position would also navigate and utilize Thrifty White Pharmacy technology to fully research and resolve account billing requests including but not limited to balances, charges, payments, as well as rebilling claims and submitting prior authorization requests and research aged balances in order to collect payments, creating payment plans, and work with collections.

MAJOR RESPONSIBILITIES :

• Provide excellent service to customers and pharmacy personnel via incoming and outgoing phone calls, emails, intranet tickets and intranet requests.
• Address all aspects of the customer or pharmacy personnel request, including but not limited to account balances, charges, payments, payment plans, rebilling claims, and submitting prior authorization requests.
• If immediate resolution is not possible or additional research is needed, provide timely follow up.
• Research aged account balances while taking appropriate action including initiating collection calls, sending collection letters, setting up payment plans, restricting and reopening charging privileges, performing write off adjustments and sending to outside collection agencies.
• Bill customers as appropriate for copays and non-covered items to ensure payment is received and applied.
• Process online payments via phone.
• Process adjustments and apply payments on accounts as appropriate.
• Process refunds as requested and based on internal procedures.
• Document customer accounts, intranet requests and intranet tickets as appropriate based on action taken.
• Verify customer demographics, ensuring account accuracy and HIPAA compliance
• Use TWRx, insurance websites, PeopleSoft, Intranet, Internet, MN ITS, Office Ally, and other resources as needed to complete research and rebilling as appropriate.
• Identify areas of improvement within the team. Partner with leadership to assist in implementing improvements to these processes
• Maintain confidentiality of all patient PHI, following HIPAA guidelines and TW processes.
• Assist with special projects as needed and requested by leadership.
• Learn and implement new and changing technologies on an ongoing basis.
• Maintain flexibility as work roles / job responsibilities change as environment requires.
• Maintain a well groomed appearance in accordance with company guidelines to present a professional image of the office.
• Perform all other job duties as assigned.

MINIMUM QUALIFICATIONS

Education, Experience, Skills and Abilities :

• Excellent verbal and written communication skills, including the ability to communicate with customers, team members, internal and external partners, and leadership.
• Excellent follow thru to ensure work is done correctly the first time and the customers concerns are addressed as quickly as possible.
• Background and familiarity of pharmacy insurance processing. If background does not exist, must be able and willing to quickly pickup new knowledge and apply it quickly.
• Moderate computer skills, including Word, Excel, and Outlook.
• Ability to :

o Troubleshoot and problem solve using all tools and resources available prior to escalating the issue

• o Operate phones and copy / print / scan machines
• o Prioritize, multitask, and manage workload
• o Handle stressful situations and difficult customers in a polite and professional manner
• o Maintain effective working relationships with specialists and leadership
• o Maintain confidentiality
• Must have the ability to have and maintain a clear record without exclusion, sanctions or debarments with the Office of the Inspector General at the time of hire and monthly thereafter.

DESIRED QUALIFICATIONS

• AAS Degree or equivalent.
• Knowledge of PeopleSoft, TWRX, and OnBase.

Physical Demands :

The physical demands described here are representable of those that must be met by an employee to successfully perform the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position involves in-office work and may include long periods of sitting. While performing the duties of this job, the employee is also frequently required : to stand, talk and hear, use hands and fingers, handle, or operate objects, tools, or controls, and to reach with hands and arms.

The employee must occasionally lift and / or move up to 40 pounds. (Review the Safe Lifting Techniques policy). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus.

We offer competitive wages, medical, dental, vision, life, 401k, Employee Stock Ownership Plan, paid holidays and vacations, and a store discount for you and your family.

Thrifty White Pharmacy is an Equal Opportunity Employer.

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