GENERAL SUMMARY:

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.

• Monitor and manage various queues within pharmacy system

• 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

• Meet established quality and productivity expectations.

• Identifies and reports potential issues to leadership.

• Supports the standards set forth in the HFHS Code of Conducts by adhering to legal and ethical standards.

  EDUCATION/EXPERIENCE REQUIRED:

• Associates Degree or higher preferred.

• Minimum one (1) year call center experience required.

• Pharmacy experience preferred.

• Ability to analyze and improve billing procedures required.

• Strong understanding and knowledge of medical/clinical and pharmacy terminology.

• Working knowledge of personal computers, and business software such as Microsoft Office.

• Organizational and time management skills, as evidenced by the capacity to prioritize multiple tasks and job duties/responsibilities.

• Strong interpersonal communication skills and experience with interacting with customers

Additional Information

• Organization: Community Care Services

• Department: Ambulatory Pharmacy Services

• Shift: Day Job

• Union Code: Not Applicable

  Additional Details

  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 functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.