Job Description

Medix is hiring for a full-time Pharmacy Billing Associate in Louisville, KY!

**This position is fully on-site**

Job Description:

Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP’s) and Third-Party Insurances.

Duties

1. Runs daily ECS log report to identify denied claims for Medicare or other insurers.

2. Reviews and completes all denied claims in the ECS log for Medicare and other insurers

3. Requests prior authorization on drugs that are denied for prior authorization.

4. Obtains third-party insurance information on all necessary orders.

5. Bills any non-covered drugs to the appropriate party

6. Enters debit/credit adjustments in Framework as needed. Complete the Framework Adjustment Form and forward a copy to the Accounting Department.

7. Ensures patient profiles are updated with payor changes and exceptions.

8. Notifies facilities of changes and exceptions when appropriate.

9. Processes and prints all monthly facility invoices.

10. Assists with special projects as needed.

11. Meets Expectations of Excellence for position.

12. Supports location, departmental goals, and the overall objectives of the Company.

13. Complies with all laws, regulations and standards of ethical conduct.

14. Responsible for uncompromising levels of cleanliness and safety.

15. Leads by Example (LBE), upholds and promotes the culture, mission and values of the Company.

16. Performs all job duties with a friendly positive and team-oriented approach.

17. Maintains professional/technical competencies and proficiency for job responsibilities.

18. Complies with all Company policies, procedures, rules and standards.

Schedule/Shift: Monday-Friday 10am-6:30PM

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

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