Overview
Do you have four to six years pharmacy or healthcare experience with direct patient contact? Do you have an active tech registration with the Minnesota Board of Pharmacy? We at MHealth are looking for you to join Kasota team located in Minneapolis! This benefits eligible position is a 1.0FTE (80 hours/2 weeks) on the day shift.
Using superior customer service skills, answer phone calls regarding billing, benefits, and copay assistance. Proactively investigate patient coverage benefits and financial assistance to facilitate access to specialty medication and promote compliance. Be the expert problem solver and resource for resolving issues and questions from internal and external departments. Build and employ knowledge of funding resources to provide the highest level of assistance available. Review accounts before sending to collections. Set up payment plans as necessary.
Responsibilities Job Description

• Answer phone calls regarding billing, benefits, payment options, and copay assistance.
• Work with patients on copay assistance enrollment.
• Work with Self-Pay patients to get updated insurance information.
• Process patient payments made over the phone
• Understand billing primary, secondary and tertiary insurance claims, including copay assistance
• Understand all third party and Medicare/Medicaid regulations and billing guidelines as they pertain to home infusion claims
• Understand Copay Assistance eligibility requirements.
• Bill and follow up on copay assistance claims.
• Resolve any billing issues as needed
• Manage Self-Pay accounts by working with intake to verify eligibility and check benefits.
• Review drug dispenses for copay assistance qualification and screen patients for eligibility
• Review patient accounts over 90 days and work with patients to set up payment plans
• Explain patient charges and communicate expectations of payment plan
• Manage GAP assistance requests
• Confirm delivery tickets and nursing visits

Qualifications

• Required Education
  
  • High School diploma / GED
  Experience
  • Four to six years pharmacy or healthcare experience with direct patient contact
  License/Certification/Registration
  • Active technician registration with the MN Board of Pharmacy and if registered on or after 1/1/2013, must have completed or be scheduled to complete an approved pharmacy technician program
  Preferred Education
  • Vocational / technical or Associates Degree.
  Experience
  • Two to four years progressive pharmacy experience.
  • Previous knowledge of prescription funding resources and insurance benefits.

EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
Benefit Overview
Fairview offers a generous benefit 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:
Compensation Disclaimer
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.