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Pharmacy Biller

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Job Description - Pharmacy Biller

About Us


Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient’s unique needs. Our providers are leaders in personal injury and workers’ compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential.


Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes.


Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.


Job Duties


Billing



  • Generate statements, insurance forms, and patient bills according to daily schedule.

  • Retrieve dictated reports or progress notes.

  • Review all reports for medications listed and forward the errors to Excelsia Physician’s office for corrections.

  • Forward billing errors to the treating offices for review and/or corrections.

  • Finalize and prepare bills and documents for submission (electronic and paper).

  • Communicate with pharmacy staff to obtain accurate information.

  • File fee review for denied bills (worker’s compensation claims).

  • Submit New Jersey precerts for NJ MVA.

  • Translates Spanish speaking patient information to pharmacist and staff to ensure medication safety.

  • Other duties as assigned.


Collecting


  • Review AR and follow up on unpaid accounts (includes sending attorney ledgers).

  • Review accounts in all databases (where applicable) for accuracy.

  • Resubmit claims if necessary.

  • Forward the following adjustments /corrections to the designated employees at the Corporate Office: write offs, payment adjustments, refunds, etc.

  • Assist attorneys, adjustors, and patients with account information and billing questions. Obtain billing information if missing.

  • Work A/R correspondence.

  • Complete daily A/R log

  • Communicate with Corporate Office or other office staff as necessary.

  • Other duties as assigned.


Minimum Requirements



  • High School diploma or GED equivalent

  • Working knowledge of insurance billing and collection procedures


Additional Skills/Competencies



  • Excellent verbal and written communication skills

  • Knowledge of computer applications, including Windows, Outlook, and Microsoft Office

  • Problem solving and organizational skills.

  • Typing – 50+ WPM

  • Knowledge of insurance plans, workers’ compensation, and personal injury, accounting

  • Ability to effectively interact with doctors, attorneys, patients, and co-workers.


Physical/Mental Requirements


Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.


Why work for Excelsia Injury Care? We offer a competitive salary, a great and stable work environment as well as amazing benefit package! Offered Benefits include: 



  • Medical, Dental and Vision plans through CareFirst with PPO And HSA options available the first of the month after your hire date. 

  • Rich leave benefits including PTO that is accrued starting on your first day of work, 8 company-recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year.

  • Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund.

  • Discounts on shopping and travel perks through WorkingAdvantage. 

  • 401(k) retirement plan with employer match.

  • Paid training opportunities and Education Assistance Program. 

  • Employee Referral Bonus Program


Diversity Statement 


Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.

Original job Pharmacy Biller posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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