Job Summary:
Founded in 1985, SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.
SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.
The Pharmacy Billing Specialist is responsible for collecting, posting, and managing patient account payments. Responsible for submitting patient claims to insurance companies and following up on the claims with insurance companies. Responsible for posting patient check payments in office biweekly.
Essential Functions:
- Preparing and submitting clean claims to various insurance companies either electronically or by paper
- Answering questions from patients, clerical staff, and insurance companies
- Identifying and resolving patient billing complaints
- Preparing, reviewing, and sending patient statements
- Evaluating patient’s financial status and establishing budget payment plans; following and reporting status of delinquent accounts
- Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor; preparing information for the collection agency.
- Responsible for processing and posting incoming patient check payments
- Reconcile and correct any basic balance inconsistencies with accuracy and speed
- Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third party payers
- Participating in educational activities and attending monthly staff meetings
- Maintaining strictest confidentiality; adhering to all HIPAA guidelines and regulations
Knowledge, Skills & Abilities:
- High School Diploma or GED preferred
- Knowledge of medical billing/collection practice
- Knowledge of business office procedures
- Knowledge of basic medical coding and third-party operating procedures and practices
- Ability to operate a computer, computer software, and basic office equipment
- Ability to operate a multi-line telephone system
- Skill in answering a telephone in a pleasant and helpful manner
- Ability to read, understand, and follow oral and written instructions
- Ability to establish and maintain effective working relationships with patients, employees. and the public
Benefits:
It’s an exciting time to join SelectRX, a subsidiary of SelectQuote. We became a publicly traded company in 2020 with the first 100% virtual IPO (non-biotech) in American history. We have also been recognized nationally on the 2021 Top Workplaces USA list and by the Kansas City Business Journal as a 2020 Best Places to Work honoree. SelectRX strives to be a one-stop-shop for Senior Health Information needs, including Medicare Plan Benefits, Healthcare Literacy, Value-Based primary Care, Prescription Drug Management and Patient Engagement.
Full-time employees are eligible for medical, dental, vision, voluntary short-term disability, company-paid long term disability, company-paid life insurance and accidental death & dismemberment (AD&D), 401(k) + company match and 100% vesting after 4 years, discretionary profit sharing, employee stock purchase program (espp), paid time off, floating holidays, paid maternity leave, paid parental bonding leave, tuition reimbursement, jury duty pay, and other paid leaves vary based on work location.