Pharmacy Billing Specialist - Full Time Day Shifts - Bingham Farms

Join Henry Ford Health as a Pharmacy Billing Specialist and make an exciting impact on patient care.

GENERAL SUMMARY:

Schedule: Full Time Day Shifts

The Pharmacy Billing Specialist is responsible for the Henry Ford Pharmacy patients account payments and deposits across all pharmacy locations. Identifies and determines, in accordance with established policies and procedures, the accuracy and completeness of patient insurances, payments and demographics. Responsible for answering inbound phone calls, assisting with billing and collection of all pharmacy revenue, as well as providing pharmacy support as needed. Additionally works with collections agencies on delinquent accounts.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Accept inbound customer calls and provide accurate, satisfactory answers to their queries and concerns
• De-escalate situations involving dissatisfied customers offering assistance and support
• Provide support to internal and external customers regarding pharmacy copays, claims rejections, rebills, etc.
• Verifies patient insurance coverage and makes necessary changes in pharmacy system.
• Accept and process all patient account payments.
• Generate and prepare all monthly patient account statements.
• Ensure that all financial adjustments are posted accurately.

• Reconcile and deposit all pharmacy revenue collected.

• Evaluate and validate patient credit card information within pharmacy and billing software systems, ensuring that all information is current and accurate
• Sort and retrieve all outgoing and incoming mail
• Evaluate and investigate appropriation to be taken to resolve delinquent account balances, which may include suspension of account usage and reporting account balances to collections agency

• Identify and resolve credit balances and understand the impact on patient responsibility and third party refunding

  This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.