Pharmacy Billing Associate

Full-Time - RIDC Park Pittsburgh, PaMonday-Friday - Mostly Daylight - Rotating evenings and weekends - HybridOur Billing Associate work internally with the Billing and Accounting Team, Pharmacist and Order Entry, and Production Teams. The Billing Associate works externally with Customers, and Third Party Insurance Personnel. Responsibilities Include, but not limited toData entry and review of patient demographics Correspond with facility and family representatives to gather demographic information for the purpose of validating appropriate charges to facility and/or private pay accounts. Perform daily tasks as assigned. Adhere to Grane Rx billing and denial management processes and procedures. Review and process Medicaid pending claims. Remove Perform daily census reconciliation procedures to ensure census data is in alignment with facility census information Perform comprehensive census reconciliation procedures to ensure that census data is correct. Perform hospice reconciliation procedures to ensure hospice data is accurate Process Third Party Claims Perform necessary rebills and credits as needed Produce month end and interim reports. Review of facility pre-bills to ensure accuracy. Review of facility invoices and rebill claims as necessary. Assist with prior authorization and non-formulary worksheets and process. Triage of documents to appropriate work queues. Ability to handle outbound and inbound phone calls from customers. Assists with the preparation of Third Party Payors (PDPs) audits. Duties as assigned.