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Billing Specialist I
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- Responsible for processing customer bills and insurance claims in an accurate and timely manner.
- Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
- Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
- Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed.
- Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
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