Pharmacy Claims Processor

2 weeks ago


Tauranga, Bay of Plenty, New Zealand KPH Healthcare Services Full time
Job Summary

We are seeking a skilled Billing Associate to join our team at KPH Healthcare Services. As a Billing Associate, you will be responsible for the centralized billing process, ensuring accurate and timely payment of claims.

Duties and Responsibilities
  • Accurately enter resident insurance information.
  • Review and correct resident face sheets.
  • Verify and update financial pay statuses.
  • Provide excellent customer service to assigned facilities.
  • Identify errors causing claim denial on a daily basis.
  • Correct necessary data and re-bill claims as required.
  • Collaborate with Kinney Employees and outside agencies.
  • Contribute to the automation of billing procedures.
  • Assist with end-of-month bill processing.
  • Visit clients to review monthly billing statements.
Requirements
  • PREFERRED: AS Degree or Higher in Business Administration or related field.
  • MINIMUM: High School Diploma.
  • PREFERRED: 1-2 years of experience in Long Term Care pharmacy billing.
  • PREFERRED: General knowledge of Medicare D Insurance, Medicare A, Accounting, Third Party Processing, and/or Pharmacy Operations.
Compensation

$15.97-$20.94 per hour.

Final offer will be determined after careful consideration of multiple factors.