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Job Title: Billing SpecialistJob Description

The Billing Specialist will have the knowledge required to complete any and all billing tasks needed to complete the billing cycle in a timely manner. The specialist will work with insurance providers, nursing center staff, and prescriber's offices. Support and feedback regarding billing errors will be provided to pharmacy personnel. Prior medical/pharmacy billing experience is preferred.

Responsibilities

• Run and review daily and monthly logs and correct any coding errors.

• Post monthly charges, credits, and adjustments to patient and facility accounts.

• Make changes to patient and facility accounts as they occur, such as changes of address and billing status.

• Run monthly accounts receivable statements and prepare statements for mailing.

• Complete billing on or before the deadline as specified by the President/Vice President and/or Facility.

• Process incoming and outgoing correspondence as needed.

• Complete proper forms for the completion of collection letters.

• Track dates of collection letters and any responses or other pertinent information needed if the account must be sent to the collection agency.

• Turn bad debt accounts over to the Billing Supervisor after all necessary attempts for collection have been made.

• Perform prescription claims adjudications for all pharmacy insurance programs.

• Handle Med-A billing to nursing facilities.

• Handle billing rejections for the pharmacy.

• Manage the refill-to-soon rejections process.

• Assist with prescription billing errors.

• Manage prior authorization prescription orders.

• Input new patient profiles.

Essential Skills

• Pharmacy billing

• Insurance handling

• Healthcare knowledge

• Customer service

• Payment posting

• QS1 software proficiency

• Experience with long-term care pharmacy

• Familiarity with skilled nursing facilities

• Knowledge of different payer types and drug coverage for medical, managed care, and part A Medicare

• Running monthly invoices to customers

• Ensuring census updates

• Medical billing and collections

• Data entry

• Prior authorization handling

Additional Skills & Qualifications

• Computer skills, including fundamental knowledge of Windows-based software programs

• Proficiency in Microsoft Office programs, specifically MS Excel

• Excellent phone and customer service skills

• Organizational skills with the ability to prioritize and manage multiple tasks

• Adherence to regulatory and company compliance, including OSHA, DEA, and State Board of Pharmacy regulations

• Understanding and promotion of rules and regulations governing residents' rights

• High school diploma or GED required

• At least one year of pharmacy billing experience preferred

• Ability to maintain regular attendance

• Dependability and ability to work with minimal supervision

Work Environment

This position is based in an office environment with working hours from 9:30 AM to 6:00 PM or 10:00 AM to 6:30 PM.

Pay and Benefits

The pay range for this position is $22.00 - $25.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Rocklin,CA.

Application Deadline

This position is anticipated to close on Feb 7, 2025.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

Diversity, Equity & Inclusion

At Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options.