Medical Billing Representative

Position: Medical Billing Representative

Location:

Job Id: 441

# of Openings: 0

A typical day in the life of a Medical Billing and Coding Specialist will include the following:

• Assist with determining coverage and access options available for a specific medication or procedure
• Collect and analyze information and resources related to local, regional or national payer coverage or claim submission process
• Clearly articulate complex reimbursement and billing information to HCPs, their office staff and/or patients to ensure understanding of coverage benefit and financial responsibility
• Educate provider offices on local and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes
• Educate offices about the medical necessity requirements for coverage and provide education support for the office to submit pre-determinations, appeals and/or peer to peer reviews with payors, as applicable
• Assist offices to understand payor denied or underpaid claims and provide education, as applicable, for the office to resolve of rejected, denied or underpaid claims
• Educate HCPs, their office staff and/or patients on appropriate resources for questions about co-pay, coinsurance, out of pocket costs, deductibles and other financial assistance or coverage related questions
• Serve as a patient advocate and enhance the customer experience for all callers by acting as a single point of contact and a compassionate voice for all providers and patients

This job might be for you if (must have requirements of the role):

• Detail oriented
• Professional telephone etiquette
• Basic computer knowledge
• Ability to multitask effectively
• Ability to recognize emotions and their effects
• Sureness about self-worth and capabilities
• Manage disruptive impulses
• Maintain standards of honesty and integrity
• Take responsibility for performance
• Be adaptable and handle change with flexibility
• Be innovative and open to new ideas
• Achievement driven; constant striving to improve or to meet a standard of excellence
• Align with the goals of the group or organization
• Ready to take initiative and act on opportunities
• Be optimistic and pursue goals persistently despite obstacles and setbacks
• Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners
• Communicate clearly and send clear messages
• Ability to consume complex coverage policy changes and convert complexity to educate lay persons
• Adaptability to change
• Personal initiative and commitment to team and organizational goals
• Ability to work effectively within a team
• A positive attitude!

Requirements:

• Minimum of (two) 2 years’ of billing and coding experience is preferred
• Bachelor’s degree in arts and sciences, social work, public health administration or a related field preferred
• Billing and coding diploma or certificate strongly preferred
• High School diploma or equivalent is required
• Strong understanding of medical terminology background is preferred
• Background working directly within physician practices or outpatient clinics billing commercial insurances, Medicare, and Medicaid preferred
• Bi-lingual in English and Spanish or Chinese/Mandarin is a plus 
• All employees working onsite in a PharmaCord facility are strongly encouraged to be vaccinated against COVID-19
• We are located in the River Ridge Commerce Center at 150 Hilton Drive, Jeffersonville, IN. You must be willing to work in this location; PharmaCord does reimburse for tolls if applicable, at the frequent user rate. This rate is applied after 40 trips per month (valued at $655.20 per year)

Physical Demands:

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit, use hands to type, handle or feel; and reach with hands and arms. Must be able to type 35 WPM with 97% accuracy.
• Ability to travel as needed

Work Schedule & Environment

• This is a full-time position (depending on business need). Standard shifts are Monday-Friday between the hours of 8 am and 8 pm and will depend on business need. 
• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
• Due to investment in program specific training, candidates are expected to maintain role for a minimum of 6 months, especially within a client-facing role, prior to being considered eligible for lateral or promotion level move. PharmaCord is committed to creating a strong company culture that values collaboration, employee development, and promotion from within. Exceptions will be reviewed on a case-by-case basis to assess business need and service impact.

Once you land this position, you’ll get to enjoy:

• Company paid Short-term Disability (STD)
• Increased competitive 401(k) company match up to 4%
• Affordable Medical, Dental, and Vision benefits - PharmaCord covers 75% of Medical Premiums for our employees
• PharmaCord has not increased healthcare premiums in the past 4 years
• NEW! Concierge Medical Clinic free of cost for those enrolled in a PharmaCord medical plan (including dependents)
• Wellness discounts of up to $260 per year for participation in wellness program
• Annual HSA employer contribution
• Company paid and voluntary Life Insurance options
• Voluntary Life, AD&D and Long-Term Disability Insurances
• Paid Parental Leave of Absence
• Wellness and Employee Assistance Programs
• PTO benefits, flex days and paid holidays
• Employee Referral Program
• Ambassador Program
• Tuition reimbursement program up to $5,000 per year

• Competitive starting pay rates
• Yearly merit increases
• Toll reimbursement program (valued at $655.20 per year)
• This role may be eligible for a hybrid schedule (50% in office, 50% remote). To qualify for a hybrid schedule, you are required to work a minimum of 6 months on-site at our headquarters location. You must show you've successfully completed training, are in good performance and attendance standing, and are consistently meeting KPI's as outlined within the program business rules.
• Multiple shift options between 8 AM and 11 PM Monday - Friday

• Working for PharmaCord - voted Best Places to Work in Kentucky for 2019 and 2021
• Work for a company that values diversity and makes deliberate efforts to create in inclusive workplace
• Opportunities for advancement with a company that supports personal and professional growth
• PharmaCord has doubled in size over the last few years and expects to be over 1000 employees by the end of 2023 giving current employees first access to promotional opportunities
• A challenging, stimulating work environment that encourages new ideas
• Exposure to many learning and development opportunities
• Playing a crucial part in the lives of our patients, physicians, and pharmacies by enhancing the patient services experience
• Our new state of the art Headquarters building offering many amenities including collaborations spaces, outdoor dining, walking path, marketplace café, and more!

Any offer of employment is contingent on completion of a background check to company standard. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

At PharmaCord, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. PharmaCord is proud to be an equal opportunity employer.

In order to maintain a safe workplace for our team members, PharmaCord strongly recommends that all employees are vaccinated against COVID-19.

 PharmaCord is unable to sponsor employees at this time.

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