Responsible for pharmacy coding and billing functions, including resolution of pharmacy billing issues. Ensures pharmacy processes are completed in a timely manner so projected revenue is captured and reconciled against prescription records.
Reviews and completes coding, claims, and denials for medications, supplies, and diagnoses within pharmacy. Maintains payer and provider databases, assigns pricing contracts, evaluates provider licensing information, and assesses pharmacists' progress notes for proper documentation.
Monitors denials and claims to evaluate outstanding accounts receivable. Supports reporting needs and may provide consultation for hospital-based ground services. Uses analytic software to build custom reports for AR and denials.
Qualifications
- Associate's degree in health care or a business-related field required; bachelor's degree preferred
- In lieu of education, leadership may accept 4 years of applicable experience
- Minimum of 3 years of experience in pharmacy and medical billing
- Certified pharmacy technician, coder, or medical biller preferred
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- 401(k) retirement plan
- Work/life balance benefits
- Generous time off package
Location
North Dakota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago