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Pharmacy Billing Revenue Qualifier - Florissant, MO

Company Name:
Omnicare
This position is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.
Ensure that census paperwork is received from the Nursing facility.
Ensure that the census is entered into the operating system accurately and is valid coverage.
Review paperwork and verify completeness and of intake process focusing on payer verification and selection.
Ensure effective coordination and communication between the local pharmacy and the Central Billing Center.
Ensure the smooth dissemination of information relative to Revenue Management to the pharmacy/site and Omnicare customers.
Work Medicaid Pending reports from i-Astral and the operating system to ensure timely application of Medicaid coverage.
Improve account identification on Medicaid Application Pending (MAP).
Participate in training session or conference calls to further C2W ADT management knowledge.
C2W ADT Workflow grid is cleared daily for all assigned facilities.
Work and partner with other internal departments to resolve issues.
Follow all applicable government regulations including HIPAA.
Participate in projects and/or meeting as designated by management.
Other duties as assigned; job duties may vary by location.
Minimum (Required): _(must be met in order to perform the job at the required level)_
High school diploma or equivalent.
6-12 months of long term care pharmacy billing experience.
Basic knowledge of insurance procedures
Ability to work in a fast paced, rapidly changing environment.
Excellent verbal and written communication as well as listening skills.
Intermediate computer and typing skills.
Preferred: _(if above and beyond the minimum required)_
Healthcare industry experience.
Minimum of 1-3 years of experience working in an office/business setting.
Prescription third party claims management experience.
Equal Opportunity Employer: Omnicare is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, and veteran status or any other status protected by federal, state or local law. Omnicare is an Equal Employment Opportunity and Affirmative Action Employer.
EO/Minorities/Females/Disabled/Veterans
Date: 2014-08-04
Country: US
State: MO
City: Florissant
Postal Code: 63031
Category: Billing
Job Type: Regular Full-Time

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