Location: Fairbanks, Alaska
This position prepares regulatory, HIPAA and payer compliant prescription insurance claims for billing with patient and third party pharmacy benefit managers; completes bill status for electronic transmission, and completes all processing and documentation necessary for initial or secondary billing. The position follows-up on pending, denied, and delinquent accounts, and responds to inquiries regarding prescription billing records. This position also prepares medications for dispensing and assists pharmacists with patient records, charges, and inventory controls.
*Requires State of Alaska Pharmacy Technician License upon hire
*Math Skills Screening
About Fairbanks Memorial HospitalFairbanks Memorial Hospital is a non-profit facility owned by the Greater Fairbanks Community Hospital Foundation. A Joint Commission-accredited facility with 152 licensed beds, Fairbanks Memorial Hospital is the primary referral center for residents of Alaska's interior with a strong patient-to-nurse ratio and Shared Leadership Infrastructure. In addition to our exceptional clinical environment, our location offers incomparable lifestyle rewards away from work. In Fairbanks, small-town living, spectacular natural beauty and endless recreation combine to create a one-of-a-kind place to live, work and play.
40 hours per week working varied 8 hour Day Shifts (occasional evenings/weekends)
ResponsibilitiesPrepares electronic and paper claims in accordance with department standards to ensure compliance, accuracy of patient and payer information, and proper reimbursement according to contractual agreements.Monitors outstanding claims and reports and follows through as needed to ensure prompt payment; processes prescription claims appeals to appropriate insurance payers; responds to inquiries regarding patient billing records.Prepares and compounds medications for dispensing. Assists pharmacists in dispensing medications and maintaining patient records, charges, and inventory controls; prepares and documents scheduled/controlled medications transactions.Performs monthly reconciliations of all pharmacy billing accounts.Maintains current knowledge of regulatory rules and insurance billing requirements and restrictions.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
High school diploma/GED or equivalent working knowledge and a Pharmacy Technician License.Applicant must pass mathematics examination, type 35 wpm, and be able to effectively communicate both verbally and in writing.PREFERRED QUALIFICATIONSTwo years of experience in a prescription billing or similar position is strongly preferred.Additional related education and/or experience preferred.
Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.