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Job Title: Billing Specialist

Job Description

As a Billing Specialist, you will be responsible for completing all tasks necessary to successfully complete the billing cycle in a timely manner. This includes working with insurance providers, nursing center staff, and prescriber's offices to provide support and feedback regarding billing errors to pharmacy personnel. Your role will involve running daily and monthly logs, posting charges, credits, and adjustments, managing accounts, processing correspondence, handling prescription claims, and managing billing rejections among other duties.

Day-to-day duties

1. Runs and reviews the daily and monthly logs and corrects any coding errors, etc.

2. Posts the monthly charges, credits, and adjustments to the patient and facility accounts.

3. Makes changes to the patient and facility accounts as they occur; such as, changes of address, billing status, etc.

4. Runs monthly accounts receivable statements and prepares statements for mailing.

5. Completes the billing on or before the deadline as specified by the President/Vice President and or/Facility

6. Processes incoming and outgoing correspondence as needed

7. Completes proper forms as specified for the completion of collection letters.

8. Tracks dates of collection letters and any responses or other pertinent information that will be needed if the account must be sent to the collection agency.

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

10. Perform prescription claims adjudications for all pharmacy insurance programs

11. Handle Med-A billing to nursing facilities

12. Handle billing rejections for the pharmacy

13. Manage refill-to-soon rejections process

14. Assist with prescription billing errors

15. Manage prior authorization prescription orders

16. Input new patient profiles

Knowledge, Abilities, and Skills

1. Computer skills, including fundamental knowledge of Windows-based software programs, including word processing &spreadsheet applications, etc.

2. Knowledge of Microsoft Office Programs; specifically MS Excel is preferred

3. Must have excellent phone/customer service skills.

4. Organization skills including the ability to prioritize and manage multiple tasks

5. Ability to adhere to regulatory and company compliance, Code of Conduct, and Business Ethics (OSHA, DEA, State Board of Pharmacy, etc.)

6. Keeps abreast of current state, federal, and company policies, procedures, and regulations

7. Understand, promote, and comply with rules and regulations governing residents' rights

Qualifications

1. High school diploma or general education degree (GED)

   2. At least one year of pharmacy billing experience, preferred

   3. Must be capable of maintaining regular attendance

   4. Must be dependable and able to work with minimal supervision

Hard Skills

• Medical/pharmacy billing experience

• Prescription claims adjudication

• Handling billing rejections

• Managing refill-to-soon rejections

• Assisting with prescription billing errors

• Managing prior authorization prescription orders

• Inputting new patient profiles

Soft Skills

• Ability to correct coding errors

• Ability to make timely changes to accounts

• Efficient in processing incoming and outgoing correspondence

• Effective in completing proper forms for collection letters

• Adept at tracking collection letters and responses

Job Type

This is a Contract-to-Hire position with a duration of 6 Months.

Work Site

This is a fully on-site position in Rocklin, California.

Work Environment

Office environment with working hours from 6 am to 2:30 pm

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.