Retail Pharmacy Biller jobs in United States
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Adventist Health ยท 2 months ago

Retail Pharmacy Biller

Adventist Health is a faith-based, nonprofit integrated health system serving communities on the West Coast and Hawaii. The Retail Pharmacy Biller role ensures accurate and timely billing for pharmacy-related services, prepares claims for insurance providers, and resolves billing discrepancies to facilitate prompt reimbursement.

Elder CareHealth CareHospitalMedicalNon ProfitWellness

Responsibilities

Reviews financial statements to identify and correct payment inconsistencies or errors
Posts charges and payments to ensure all billing entries are accurate and compliant
Prepares and issues invoices and billing documentation to customers or patients
Submits billing data and claims to appropriate insurance providers
Tracks and processes insurance claims from submission to payment
Investigates and resolves denial instances to ensure maximum reimbursement
Monitors and implements billing procedures and systems that support compliance and efficiency
Supports the deployment and reporting of pharmacy-related billing programs and initiatives
Performs other job-related duties as assigned

Qualification

Pharmacy terminologyBilling proceduresInsurance claims processingRetail pharmacy billing trainingRPBC certification

Required

Retail pharmacy billing training course
RPBC

Preferred

High School Education/GED or equivalent
Associate's/Technical Degree or equivalent combination of education/related experience
Five years' relevant experience
Experience and familiarity with pharmacy terminology and coding standards (e.g., NCPDP, HCPCS, ICD-10)

Company

Adventist Health

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Adventist Health is a Adventist Health is a not-for-profit health care organization .

Funding

Current Stage
Late Stage

Leadership Team

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Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
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Kerry L. Heinrich
President and CEO
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Company data provided by crunchbase