Billling Assistant

Position Summary

Omnicare,Inc is a wholly owned subsidiary of CVS Health Corporation. www.cvshealth.com

What We Do

Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the health care environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.

Overview: The Revenue Qualifying Specialist is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.

Key Responsibilities:

• Ensure that census paperwork is received from the Nursing facility.
• Ensure that the census is entered into the operating system accurately and is valid coverage.
• Review paperwork and verify completeness and of intake process focusing on payer verification and selection.
• Ensure effective coordination and communication between the local pharmacy and the Central Billing Center.
• Ensure the smooth dissemination of information relative to Revenue Management to the pharmacy/site and Omnicare customers.
• Work Medicaid Pending reports from I-Astral and the operating system to ensure timely application of Medicaid coverage.
• Improve account identification on Medicaid Application Pending (MAP).
• Participation in training session or conference calls to further C2W ADT management knowledge.
• C2WADT Workflow grid is cleared daily for all assigned facilities.
• Work and partner with other internal departments to resolve issues.
• Follow all applicable government regulations including HIPAA.
• Participation projects and/or meeting as designated by management.
• Other duties as assigned, job duties may vary by location.

Position Summary

Omnicare,Inc is a wholly owned subsidiary of CVS Health Corporation. www.cvshealth.com

What We Do

Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the health care environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations.

Overview: The Revenue Qualifying Specialist is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.

Key Responsibilities:

• Ensure that census paperwork is received from the Nursing facility.
• Ensure that the census is entered into the operating system accurately and is valid coverage.
• Review paperwork and verify completeness and of intake process focusing on payer verification and selection.
• Ensure effective coordination and communication between the local pharmacy and the Central Billing Center.
• Ensure the smooth dissemination of information relative to Revenue Management to the pharmacy/site and Omnicare customers.
• Work Medicaid Pending reports from I-Astral and the operating system to ensure timely application of Medicaid coverage.
• Improve account identification on Medicaid Application Pending (MAP).
• Participation in training session or conference calls to further C2W ADT management knowledge.
• C2WADT Workflow grid is cleared daily for all assigned facilities.
• Work and partner with other internal departments to resolve issues.
• Follow all applicable government regulations including HIPAA.
• Participation projects and/or meeting as designated by management.
• Other duties as assigned, job duties may vary by location.

Preferred Qualifications

• Healthcare industry experience.
• Minimum of 1 - 3 years of experience working in an office/business setting.
• Prescription third party claims management experience.

Required Qualifications

• 6 - 12 months of long term care pharmacy billing experience.
• Basic knowledge of insurance procedures.
• Ability to work in fast paced, rapidly changing environment.
• Excellent verbal and written communication as well as listening skills.