Billing Associate Jobs

At Synchrony Health Services, we believe that if we treat our employees like royalty they will treat our customers like royalty. Our customer-oriented culture places an emphasis on customer service, teamwork, attention to detail, and customer & employee satisfaction. If working in a culture based on the principles of servant leadership appeals to you, we encourage you to join our team.

Benefits include things like:

• Paid Time Off with Cash-Out Option
• 401(k) Retirement Plan
• Critical Illness / Accident / Whole Life Insurance
• Quarterly Wage Increases
• Educational Scholarships & Tuition Reimbursements
• Weekly Payroll - Get paid on Friday, EVERY Friday
• Career & Personal Development Programs
• Short & Long-Term Disability Insurance
• Health, Dental, Vision, & Life Insurance

Synchrony Health Services is an Ancillary division of Trilogy Health Services, which is an award winning company that is leading the way in employee benefits, professional development, personal wellness and recognition. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization.

Summary:

Processes and ensures the accuracy and timely issuance of invoices to customers. Provides health care professionals with assistance with Medicare, Medicaid, Prescription Drug Plans (PDP’s) and Third-Party Insurances.

Essential Duties and Responsibilities:

• Processes and prints all monthly facility invoices.
• Notifies facilities of changes and exceptions when appropriate.
• Runs daily ECS log report to identify denied claims for Medicare or other insurers.
• Assists with special projects as needed.
• Ensures patient profiles are updated with payor changes and exceptions.
• Reviews and completes all denied claims in the ECS log for Medicare and other insurers
• Bills any non-covered drugs to the appropriate party
• Obtains third-party insurance information on all necessary orders.
• Requests prior authorization on drugs that are denied for prior authorization.
• Enters debit/credit adjustments in QS1 as needed. Complete the QS1 Adjustment Form and forward a copy to the Accounting Department.

Knowledge of:

• Compliance with external regulatory agencies and organizations for all areas of
• Medicare Part D Program.
• Fundamental accounting concepts, practices, and procedures and accrual based accounting practices.
• Federal and state regulations, facility policies, procedures and programs as pertaining to pharmacy, long term care industry and rehab services.

Skills in:

• Preparing, processing and maintaining transaction documentation, files and records.

• Gathering and compiling information and analyzing and adjusting discrepancies.

• Project management from conception to evaluation, with the ability to manage multiple tasks

simultaneously and adhere to deadlines.

• Organization with strong attention to detail.

Ability to:

• Understand and interpret claim information data.

• Communicate effectively, both orally and in writing.

• Identify and recommend solutions to problems.

• Manage multiple tasks and deadlines accurately and efficiently.

• Maintain confidentiality and professional discretion.

• Organize, prioritize and track multiple tasks with strong attention to efficiency and detail.

• Work independently, as well as collaboratively, within a team environment.

• Provide a high level of customer service in a calm and professional manner.

Qualifications:

• High School diploma or equivalent. Associates degree in accounting or business or related field preferred.

• One (1) to three (3) years’ billing experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred.

• One (1) to three (3) year’s Medicare Part D experience.

• Minimum one (1) year multi-facility experience preferred.