Billing Associate

Avera Long Term Care Pharmacy Billing Associate

Location : Avera Long Term Care Pharmacy Worker Type : Regular Work Shift : Day Shift (United States of America) Pay Range : $18.25 - $23.75 Position Highlights 9 : 30am-6 : 00pm, e / 3rd wknd / hol; 80hrs / 2wks

You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and documents tracking information to customer's accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful Associate provides excellent customer service to external and internal customers.

What You Will Do

• Respond to external and internal customers concerns regarding accounts in a timely and accurate manner.
• Follow up may include investigating reports and correcting information necessary for complete accuracy. Once verified, corrections and documentation of changes provided to patient and other appropriate departments.
• Investigate and report on all current reimbursement developments on third party remittances and maintains compliance with coding / billing requirements.
• Directs the preparation, completion and filing of third party payor insurance reimbursement claims, both electronic and paper formats.
• Processes explanation of Medicare Benefits for supplemental insurances.
• Verifies bill accuracy and responsible for review to initiate appeal information when appropriate. Collaborate with other departments for follow-up and timely resolution.
• Comprehends / interprets organization policies, procedures and maintains appropriate records for compliance and audit purposes. Corresponds with other appropriate departments for necessary billing information.
• Reconciles cash management and coordinates daily deposits for all applicable areas.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Preferred Education, License / Certification, or Work Experience :

Expectations and Standards

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices : For TTY, dial 711 Avera is an Equal Opportunity / Affirmative Action Employer : Minority / Female / Disabled / Veteran / Sexual Orientation / Gender Identity.