OverviewDo you have four to six years pharmacy or healthcare experience with direct patient contact? Do you have an active tech registration with the Minnesota Board of Pharmacy? We at MHealth are looking for you to join Kasota team located in Minneapolis! This benefits eligible position is a 1.0FTE (80 hours/2 weeks) on the day shift. Using superior customer service skills, answer phone calls regarding billing, benefits, and copay assistance. Proactively investigate patient coverage benefits and financial assistance to facilitate access to specialty medication and promote compliance. Be the expert problem solver and resource for resolving issues and questions from internal and external departments. Build and employ knowledge of funding resources to provide the highest level of assistance available. Review accounts before sending to collections. Set up payment plans as necessary.Responsibilities Job Description
Answer phone calls regarding billing, benefits, payment options, and copay assistance.
Work with patients on copay assistance enrollment.
Work with Self-Pay patients to get updated insurance information.
Process patient payments made over the phone
Understand billing primary, secondary and tertiary insurance claims, including copay assistance
Understand all third party and Medicare/Medicaid regulations and billing guidelines as they pertain to home infusion claims
Understand Copay Assistance eligibility requirements.
Bill and follow up on copay assistance claims.
Resolve any billing issues as needed
Manage Self-Pay accounts by working with intake to verify eligibility and check benefits.
Review drug dispenses for copay assistance qualification and screen patients for eligibility
Review patient accounts over 90 days and work with patients to set up payment plans
Explain patient charges and communicate expectations of payment plan
Manage GAP assistance requests
Confirm delivery tickets and nursing visits
QualificationsRequired Education
High School diploma / GED
Experience
Four to six years pharmacy or healthcare experience with direct patient contact
License/Certification/Registration
Active technician registration with the MN Board of Pharmacy and if registered on or after 1/1/2013, must have completed or be scheduled to complete an approved pharmacy technician program
Preferred Education
Vocational / technical or Associates Degree.
Experience
Two to four years progressive pharmacy experience.
Previous knowledge of prescription funding resources and insurance benefits.
EEO StatementEEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected statusBenefit OverviewFairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontractCompensation DisclaimerAn individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.
