LTC Pharmacy Revenue Cycle Specialist

Ebenezer Pharmacy is a closed-door Long-Term Care (LTC) pharmacy located in Arden Hills, MN. We specialize in packaging and distributing medications to nursing homes and assisted living facilities. We are professional, fast-paced, and rewarding. We offer a relaxed environment with the opportunity to grow!

Regular operating hours Monday-Friday 8:00 am-8:00 pm, Saturday/Sunday 9:00 am-5:00 pm. This position requires an every third weekend rotation.

The LTC Pharmacy Revenue Cycle Specialist is responsible for processing payments, claim reconciliation, and oversight of the billing and collection process. Essentially, this individual is responsible for overall revenue cycle management for Ebenezer Pharmacy.

Responsibilities

• Utilize various pharmacy and accounting software systems to: perform order entry, billing, and credit operations; Accounts Payable & Receivable duties; and receive and resolve patient billing questions.
• Uphold a high level of customer service in all communication, including while answering phones and promptly corresponding with residents, nursing staff, or other health care professionals.
• Work independently in problem solving with patients or caregivers/POA/guarantor regarding their accounts and billing situations.
• Collaborate with other healthcare professionals and patients to troubleshoot billing needs.
• Timely processing and follow-up of patient requests for payment research, checking charges, and insurance processing concerns
• Processes payments via check or credit card payments
• Apply and reconcile patient/insurance payments to patient accounts
• Reconciles the account balances for both patient specific as well as facility accounts versus payments received.
• Collects patient-responsible co-pays, co-insurance, and deductible charges from the patient and/or responsible party.
• Researches and identifies correct patient charge account and posts the appropriate payments/adjustments.
• Identifies and resolves account discrepancies.
• Respectfully and effectively communicate with health care partners to troubleshoot and resolve rejected claims or billing issues.
• Initiate, update, and maintain vendor files and CMN’s.
• Assisting the pharmacist with technical functions.

Required Qualifications

• Pharmacy or medical billing experience
• Proficiency in Microsoft Windows, including Outlook, Word, and Excel
• Pharmacy Technician MN in good standing with board
• Must be at least 18 years of age

Preferred Qualifications

• Accounting experience
• 1 year LTC Pharmacy technician experience
• Basic understanding of Framework LTC and ECM
• Prior experience and knowledge in data entry for pharmacy information systems
• Mathematical skills including ability to calculate discounts, proportions, percentages, and volume; apply concepts of algebra to practical situations; interpret prescription quantities.

Ebenezer offers a generous benefits 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:

An 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. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.