Pharmacy Billing Specialist -Collaborative Pharmacy Services - Miamisburg - Full-Time - Days

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Job Title: Pharmacy Billing Specialist 

Collaborative Pharmacy Services- Long Term Care Pharmacy 

Reports To: Manager of Pharmacy 

SUMMARY: 

The Pharmacy Billing Specialist is responsible for reviewing claims, unit dose billing, processing EFT’s and payments. Billing Coordinator will generate monthly invoices for all facilities and private pay patients. Additionally, the Billing Coordinator is key contact to facilities and patients for billing questions. 

MAJOR AREAS OF RESPONSIBILITY: 

Process EFT’s 

Process payments 

Unit-dose billing 

Fix insurance rejections 

Process patient payer changes 

Balance A//R 

Generate monthly billing for facilities and patients 

Generate end of month reports for facilities 

Generate end of month reports for finance team 

Contact facilities for late payments 

Upload file to third party for private pay statement mailing 

Answer facility and patient billing questions and resolve any issues

QUALIFICATIONS: 

Education and Experience

General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing and/or Pharmacy Operations.

Preferred health care, medicare and or pharmacy experience related to billing, claims and customer service

High School Diploma 

National Pharmacy Technician Certification, ideal but not required 

Registered Technician with the Ohio State Board of Pharmacy, ideal but not required 

Accurate and detail oriented 

Basic computer skills - Ability to use Microsoft Office 

Exemplary communication skills and customer focus is a must 

Ability to create positive impressions and communicate with a variety of people 

Personable and courteous working relationships 

Must have a very positive demeanor with co-workers and customers 

Ability to multi-task and prioritize 

Communicates effectively with team members 

Strong interpersonal and effective communication skills 

Self-driven