KPH HEALTHCARE SERVICES, INC · 4 hours ago
Billing Specialist
Gouverneur, NY
Full-time
Onsite
New Grad, Entry Level
$17.50/hr - $18/hr
0+ years expKPH Healthcare Services, Inc. is a multistate organization focused on healthcare services, and they are seeking a Billing Specialist. This role is responsible for ensuring accurate and timely adjudication of mail order pharmacy prescriptions while providing professional communication and support to members and clients.
Health CareMedicalPharmaceutical
Responsibilities
Responsible for monitoring adjudication queue(s)
Responsible for contacting members on non-covered items
Facilitate prior authorization process for customers through designated PA portals
Provide professional communication to contracted clients and members
Provide timely resolution to all internal communication inquiries relating to rejections or overrides
Provides resolution to customer service issues to ensure member satisfaction
Maintain and keep reasonable production as determined by Mail Order Leadership
May assist in orienting and training new employees
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Qualification
Required
Minimum: High School Diploma or GED
Experience in a customer service-related field
Broad knowledge of medications, physician orders, and pharmacy systems
Familiar with Enterprise billing options and practices surrounding claim submission through the insurance platform
Strong communication skills
Outstanding customer service skills
Excellent organizational skills
Ability to multitask and prioritize
Excellent computer and keyboarding skills
Successful completion of a pre-employment and/or random drug screening test
Preferred
Pharmacy technician or related certification
6-12 months experience as a pharmacy technician preferred
Company
KPH HEALTHCARE SERVICES, INC
KPH Healthcare Services, Inc.
Founded in 1903East Syracuse, New York, USA
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase