Avera Long Term Care Pharmacy

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$18.50 - $24.25

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and documents tracking information to customer's accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful Associate provides excellent customer service to external and internal customers.

What you will do

• Respond to external and internal customers concerns regarding accounts in a timely and accurate manner.
• Follow up may include investigating reports and correcting information necessary for complete accuracy. Once verified, corrections and documentation of changes provided to patient and other appropriate departments.
• Investigates and reports on all current reimbursement developments on third party remittances and maintains compliance with coding/billing requirements.
• Directs the preparation, completion and filing of third party payor insurance reimbursement claims, both electronic and paper formats.
• Processes explanation of Medicare Benefits for supplemental insurances.
• Verifies bill accuracy and responsible for review to initiate appeal information when appropriate. Collaborate with other departments for follow-up and timely resolution.
• Comprehends/interprets organization policies, procedures and maintains appropriate records for compliance and audit purposes. Corresponds with other appropriate departments for necessary billing information.
• Reconciles cash management and coordinates daily deposits for all applicable areas.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Preferred Education, License/Certification, or Work Experience:

• Associate's Technical degree or 1 to 2 years or related experience
• 1-3 years Related experience

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [email protected].