Administrative Assistant - Revenue Cycle

Administrative Assistant

Pay Range : The base pay range for this position is $20.46-$32.84 Hourly however, base pay offered may vary depending on job-related knowledge, skills, and experience.

Department : Revenue Cycle

Reports to : Director of Revenue Integrity

Classification : Hourly

Position Overview :

Receive and accurately route phone calls through the organization's telephone system in a timely, professional, and friendly manner. Must be able to handle a high volume of calls while maintaining careful attention to detail and accuracy. Must be reliable as this is a high-performance role. The Pharmacy 340B Coordinator acts as a subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that the program is maximally utilized by all Covered Entities. Payment Posting assist in zero payments responsibility for accurately reviewing and posting zero-payment remittance advice into the EMR system.

Essential Functions :

• Answer incoming calls for Pullman Regional Hospital
• Efficiently connect callers to the appropriate extension
• Provide exceptional customer service
• Maintain accurate 340B Pharmacy Roster for qualified Physicians.
• Conduct audits to ensure the accuracy and completeness of the matches for all Pharmacy items in the solution provided.
• Identify eligible patients, ensuring that medications are dispensed appropriately and fine-tuning program with policy's and guidelines both operationally as well as clinically.
• Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status.
• Review and post zero-payment remittance into the EMR system.
• Analyze Explanation of Benefits (EOBs) and denials to determine correction action (Write off, adjustments and or follow-ups.)
• Verify that all payer adjustments and denial codes are entered accurately by payer guidelines.
• Ensure all zero-payment transactions are reconciled and documented.
• Communicate with Revenue team and flag issues or trends related to denials or non-payments.

Non-Essential Functions :

Required Skills :

Required Education, Licensure, Certifications, & Experience :

Preferred Education, Certifications, & Experience :

Physical Requirements :

Environmental Conditions :

Travel requirements :

Company Perks :

A Few More Important Points :

The job posting highlights the most critical responsibilities and requirements of the job. It is not all-inclusive. There may be additional duties, responsibilities, and qualifications for this job.

Disability Contacts :

Applicants with disabilities who require assistance or accommodation should contact Human Resources at humanresources@pullmanregional.org

Current Pullman Regional Employees :

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