We are looking for Spanish Speaking Candidates
PRINCIPAL RESPONSIBILITIES AND DUTIES:
Takes necessary actions to ensure resolution of AR issues and problems for multiple pharmacy locations. Interacts with customers and FMS personnel as needed to accomplish resolution. Executes defined A/R processes accordingly in compliance with company policies and procedures, ensuring alignment with business controls and standard operating procedures.
Tracks and monitors aging and collection accounts and determines appropriate actions for follow up.
Processes all incoming customer phone and email inquires to quickly and accurately resolve questions/disputes with regard to invoicing. Escalates to supervisor if necessary.
Contacts customers/payers to secure payments on past due accounts. Performs daily review of customer payments ensuring accuracy at all times.
Utilizes critical thinking and analysis to determine accounts problems and issues requiring follow-up and identifies trends that may negatively impact company revenue.
Researches previously submitted unpaid claims to determine cause of non-payment and devises solutions for payment agreement proposals on accounts with slow-pay status.
Researches denied and underpaid claims and accounts, utilizing contract knowledge to prepare and process formal written appeals to insurance companies.
High School diploma required.
Bachelors degree preferred.
Pharmacy Technician certification beneficial.
EXPERIENCE AND REQUIRED SKILLS
Must speak fluent Spanish
Minimum of 3 years Billing or Collections experience in Healthcare related field or pharmacy.
Excellent customer service and interpersonal skills required.
Proficient in the use of computer and related software such as Microsoft Office(Excel and Word).
Ability to learn and apply basic skills needed to work with pharmacy systems.
Ability to learn pharmacy dispensing regulations and standard medical abbreviations and terminology.
Ability to learn and adopt established billing practices and policies.