Manager, Billing

Company: Guardian PHarmacy, LLC
Location: Saint Petersburg
Posted on: September 16, 2023

Job Description:

St. Petersburg, Florida, United States of America

Guardian Pharmacy of Tampa -is part of the Guardian Pharmacy Services network and prides itself on its customer service. Each team member plays an integral part in the success of the pharmacy.Schedule: M-F 9am to 5:30pmLTC billing/collections experience required.Management experience preferred.This role will be performed onsite at a closed-door pharmacy in St. Petersburg, FL. - All patient interactions will be over the phone. Comprehensive training provided side by side with training team.Must be comfortable working in a high-volume environment.We offer full time benefits including health, vision, dental and matching 401k options.
Support the team with all billing/collections functions and ensure they are performed in a timely and accurate manner. Ensure all relevant input is complete, accurate and fully adjudicated to ensure margin is maximized. Handle escalated billing issues and make sure full customer satisfaction is reached for residents, responsible parties and facility staff. Work with other departments as it relates to billing and claims adjudication.Attributes Required:--- Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy--- Leadership - ability to lead project teams to deadlines, while maintaining strong team orientation--- Relational - ability to build relationships with business unit management and become "trusted advisor"--- Strategy and Planning - ability to think ahead, plan and manage time efficiently--- Problem Solving - ability to analyze causes and solve problems at both a strategic and functional level--- Team Oriented - ability to work effectively and collaboratively with all team membersEssential Job Functions (include the following):--- Manage billing, A/R, and collection functions to ensure high level of customer service is maintained; manage productivity to metrics to include production & error rates--- Supervise team members, to include: hiring, training, evaluating, scheduling, coaching, disciplining, etc.--- Lead team in development and ongoing updates for all operations training manuals to assist in new employee training process; ensure written policies and procedures are maintained and updated for each area/function--- Ensure Billing Team is scheduled appropriately and prepared each month to accurately complete all billing procedures within the first three business days of each month--- Assist in month end close processes, including statement prep, analysis reports, etc.--- Provide analysis of operational reports such as unbilled revenue; provide detailed explanation of variances and corrections--- Lead and participate in regular team meetings for direct reports and coordinate multi-department meetings to ensure good communication and issue resolution; participate and lead discussions as requested for operational meetings--- Serve as subject matter expert on all department operating systems and programs in order to provide assistance and analysis to department--- Ensure the PA/rejection queue is updated and resolved in a timely manner--- Quality check all patient and insurance information data entered in the system--- Have a thorough working knowledge of all department functions in order to assist/support clearing bottlenecks in workflow and ensuring the most efficient processes are followed--- Assist in answering phones and providing customer service--- Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and procedures--- Assist DFA with payments, statement inquiries, audits, collections, price quotes and various financial reporting items--- Communicate and establish good relationship with facilities to obtain information as needed to assist with billing, patient set-up, and collections--- Consistently work with Supervisor of Data Entry to insure both teams are onboard and following best practices to insure proper and most efficient input and billing of all medication--- Other essential functions and duties may be assigned as neededEducation and/or Certifications:--- High School Diploma or GED--- Bachelor's Degree (Math, Economics, Statistics, Engineering, Business, Computer Science, or similar) preferred--- State Pharmacy Technician license preferredSkills and Qualifications:--- 5+ years of supervisor experience; at least 3+ years in high volume claims processing field--- Advanced computer skills; pharmacy operations system experience preferred/required--- Ability to work independently and deliver to deadlines--- Ability to solve problems with minimal direction--- Great attention to detail and accuracy--- Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines--- Quality minded; motivated to seek out errors and inquire when something appears inaccurate--- Framework, DocuTrack, Accpac, Excel and collections experience preferred--- Pharmacy experience preferredWork Environment:--- Ability to work flexible hoursFull-Time employees working 30+ hours per week are eligible to enroll in our comprehensive benefits package, which includes medical, dental, vision, short and long-term disability, life and supplemental life insurance, and PTO.All employees -are eligible to enroll in our company matched 401(k) plan.

Keywords: Guardian PHarmacy, LLC, St. Petersburg , Manager, Billing, Accounting, Auditing , Saint Petersburg, Florida