HealthDirect Pharmacy Services ยท 2 months ago
Specialty Billing Clerk
Gouverneur, New York
Full-time
Onsite
Entry Level
$17/hr - $18.50/hr
2+ years expHealthDirect Pharmacy Services is a multistate organization seeking a Specialty Billing Clerk. The role involves assisting in billing and cash application for Medicaid, Medicare, and other claims while managing accounts receivable and supporting collection efforts.
ComplianceConsultingHealth CareMedicalNursing and Residential Care
Responsibilities
Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
Oversight of the electronic payment application for Medicare
Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes
Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls
Process check requests for customer and insurance company refunds
Create accounts and use various applications to move balances for customers with denied charges
Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims
Interact with KPH Employees (Store and Corporate) and various outside agencies
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Qualification
Required
High School Diploma
Works under minimal supervision
Responsible for orienting and training new employees
Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims
Manage open accounts receivable which requires rebilling within timely filing limits
Inquiries to various insurance companies
Inquiries to customers
Help with collection efforts of medical copays and Medicare copays from customers
Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
Oversight of the electronic payment application for Medicare
Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes
Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls
Process check requests for customer and insurance company refunds
Create accounts and use various applications to move balances for customers with denied charges
Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims
Interact with KPH Employees (Store and Corporate) and various outside agencies
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Initial and continuous exclusion and sanction/disciplinary monitoring
Drug Test
Preferred
AS Degree or Higher in Business Administration or related field
2 years Medicaid, Medicare and medical billing experience
General knowledge of Accounting, Insurance processing and/or Pharmacy Store Operations
Company
HealthDirect Pharmacy Services
HealthDirect Pharmacy Services offers skilled nursing, regulatory compliance, pharmacy consulting, reporting, and cost management services.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase