Pharmacy Billing Manager - Remote

Overview

Symbria is searching for a Pharmacy Billing Manager to join our growing employee-owner team!  

 

We are seeking a detail-oriented individual to join our team employee-owner team as a Pharmacy Billing Manager. In this role, you will play a crucial role in ensuring accurate billing and timely payment for our patients. Your expertise in medical coding and billing will be essential in providing exceptional service to our clients. Come join us and make a meaningful impact in the healthcare industry!

 

***This is a Full-Time Remote Role***

 

Please review qualifications for this role before applying. 

 

Applicants must currently live in a state Symbria Rx Services is licensed in: ***AZ, CO, FL, IL, IN, KS, MA, MI, MO, PA, OH, WI***

 

 

 

 

 

 

 

 

Responsibilities

• Oversee audit and data entry activities to facilitate the accuracy and quality of data entered and maintained.
• Monitor volume indicators to ensure employee performance standards are being achieved.
• Manage and maintain daily workflow for pharmacy billers.
• Coordinate scheduled work assignments to meet billing deadlines.
• Perform insurance and billing clerical duties, including review and maintenance of patient account information.
• Resolve patient billing inquiries and problems.
• Prepare and submit claims to various third parties either electronically or by paper.
• Identify and resolve claim denials.
• Act as liaison between patients and third parties.
• Prepare, generate, and distribute accurate and timely invoices.
• Monitor, prepare and present productivity and accuracy reports.
• Conduct regular audits to ensure all standards are being met.
• Prepare and present monthly closing functions.
• Any and all duties as assigned.

Physical Demands and Work Environment

• Required to have close visual acuity to perform activities such as: preparing and analyzing data and figures, may include extensive reading.
• Consistently operates a computer and other office equipment such as a calculator, copy machine and printer.
• Frequently communicates with staff, management, patients and clients. Must be able to professionally exchange accurate information in these situations.
• Sedentary, light work with ability to exert and/or lift to 25 pounds.

 

Department Management

• Engaging the team by living and fully communicating Symbria’s vision and values.
• Development of an employee-oriented company culture that emphasizes quality, continuous improvement, key employee retention and development, and high performance.
• Manage the overall operational, budgetary, and financial responsibilities and activities of the department.
• Plan, evaluate, and improve the efficiency of business processes and procedures to enhance speed, quality, efficiency, and output.
• Make business decisions that are financially responsible, accountable, justifiable, and defensible in accordance with organization policies and procedures.
• Review performance data that includes financial, sales, and activity reports and spreadsheets, to monitor and measure departmental productivity, goal achievement, and overall effectiveness.
• Communicate regularly with other managers, department heads and other designated contacts within the company.
• Communicate corporate and company policies and procedures to staff members.

Human Resources Management

• Plan and allocate resources to effectively staff and accomplish the work to meet departmental productivity and quality goals. Work with Human Resources staff to recruit, interview, select, hire, and employ an appropriate number of employees.
• Provide oversight and direction to the employees in the department in accordance with the organization's policies and procedures.
• Coach, mentor, train and develop staff, including overseeing new employee onboarding and providing career development planning and opportunities.
• Empower employees to take responsibility for their jobs and goals. Delegate responsibility and expect accountability and regular feedback.
• Foster a spirit of teamwork and unity among department members. Consciously create a workplace culture that is consistent with the overall organization's and that emphasizes the identified mission, vision, guiding principles, and values of the organization.
• Lead employees using a performance management and development process that provides an overall framework to encourage em