Data Entry Specialist

Position Summary

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

What We Do

Directly, and through oursubsidiaries, Omnicare provides a broad array of pharmacy-related services tolong term care facilities and to other customers in the health careenvironment. While senior care has long been an Omnicare specialty, we alsoserve other targeted populations.

Overview : This position is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.

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).
• Work and partner with other internal departments to resolve issues.
• Participate in training session or conference calls to further C2W ADT management knowledge
• C2W ADT Workflow grid is cleared daily for all assigned facilities
• Follow all applicable government regulations including HIPAA.
• Participate in 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 ownedsubsidiary of CVS Health Corporation. www.cvshealth.com

What We Do

Directly, and through oursubsidiaries, Omnicare provides a broad array of pharmacy-related services tolong term care facilities and to other customers in the health careenvironment. While senior care has long been an Omnicare specialty, we alsoserve other targeted populations.

Overview : This position is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.

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).
• Work and partner with other internal departments to resolve issues.
• Participate in training session or conference calls to further C2W ADT management knowledge
• C2W ADT Workflow grid is cleared daily for all assigned facilities
• Follow all applicable government regulations including HIPAA.
• Participate in 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
• 6 -12 months of long term care pharmacy billing experience.

Required Qualifications

• High school diploma or equivalent.
• Basic knowledge of insurance procedures
• Ability to work in a fast paced, rapidly changing environment.
• Excellent verbal and written communication as well as listening skills.
• Intermediate computer and typing skills.