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Pbm Software Jobs in California (NOW HIRING)

Specialty Care Rx

Cash Posting Clerk

Orange, CA · On-site

$20 - $22/hr

... PBM payers. · Prepare and submit billing data and medical claims to insurance companies. · Examine patient bills for accuracy and request any missing information. · Maintain billing software by ...

Gracelight Community Health

Pharmacy Manager

Los Angeles, CA · On-site

$70 - $82.50/hr

... PBM) contracts and 340B Drug Discount program. * Performs regulatory audits. * Directs quality ... Experience with PioneerRx Pharmacy software and automated dispensing systems. * Knowledge of the ...

Gracelight Community Health

Pharmacy Manager

Los Angeles, CA · On-site

$70 - $82.50/hr

... PBM) contracts and 340B Drug Discount program. * Performs regulatory audits. * Directs quality ... Experience with PioneerRx Pharmacy software and automated dispensing systems. * Knowledge of the ...

Webhosting

Global Benefits Lead

San Francisco, CA · On-site

$185 - $225/hr

Now, software is entering a new era, and the next generation of products will not just be used by ... loss, PBM), and compliance considerations * Partner with EOR providers to design and manage ...

New

Vercel

Global Benefits Lead

San Francisco, CA · On-site +1

$185K - $225K/yr

Now, software is entering a new era, and the next generation of products will not just be used by ... loss, PBM), and compliance considerations * Partner with EOR providers to design and manage ...

Elevance Health

Business Analyst II

Walnut Creek, CA · On-site

$61K - $92K/yr

... application software requirements. How you will make an impact: * Analyzes business needs to ... Prior experience within PBM preferred. For candidates working in person or virtually in the below ...

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Cash Posting Clerk

Specialty Care Rx

Orange, CA • On-site

$20 - $22/hr

Full-time

Re-posted 9 days ago

Job description

Description:

The Cash Posting Clerk is responsible for assisting the Reimbursement Supervisor in all areas of Collections, Billing and Cash application.


Please note this is not a remote position.


Roles and Responsibilities:

· Accurate and timely posting of all cash payments for all businesses.

· Review of payments received via live check and research ability to convert to EFT.

· Prepare daily cash log for payments received by mail and EFT.

· Assist with the securing missing EOBs (either by downloading them from payer website or calling for a copy).

· Assist with status of PBM payers.

· Prepare and submit billing data and medical claims to insurance companies.

· Examine patient bills for accuracy and request any missing information.

· Maintain billing software by updating rate change, cash spreadsheets, and current collection reports.

· Research payment issues and communicate with other departments for a resolution.

· Identify possible low payments based on trends and history.

· Assist with registering for payment portals or identify possible ERA/EFT options.

· Audit work and ensure accuracy of information provided to customers.

· Responsible for patient phone calls related to billing.

· Communicate as needed with insurance plans on billing issues.

· Communicate cash posting issues or activities with the Reimbursement Supervisor and team.

· Assist with Special Projects as assigned.

· Perform other duties as assigned by Supervisor.

Requirements:

· At least two years' experience as a cash poster, in Healthcare or Pharmacy required.

· Knowledge of the terms and understanding associated with day-to-day functions of a cash poster.

· Must be able to multi-task, prioritize and be detail oriented.

· Must be able to work independently and be willing to assist in other areas of the department as needed.

· Must have knowledge of insurance and specialized functions of billing and reimbursement.

· Must possess excellent oral and written communication skills. Fluency in a second language is a plus.

· Must be friendly, professional, and cooperative with a good aptitude for customer service and problem solving.

· Organizational skills sufficient to maintain consistent accurate records.

· Open to possible overtime due to department demands.

· CPR+ experience preferred, but not required.

Education and Experience Requirements

· High School Diploma or Graduation Equivalent Diploma (G.E.D)

· Prior experience in a pharmacy or home health company.

Physical Requirements

Employees in this role must meet certain physical demands to perform the essential functions effectively. Reasonable accommodations will be provided for individuals with disabilities to ensure they can perform these functions. This position involves frequent sitting and requires the ability to communicate effectively through talking and listening. Occasionally, the role requires standing, walking, and using hands to operate objects, tools, or controls. The employee may also need to reach with arms and engage in physical activities such as bending, kneeling, or crouching. Regularly, the employee must lift and move items weighing up to 20 pounds, with occasional lifting of items up to 50 pounds. Visual requirements include the ability to focus, as well as maintain peripheral vision and depth perception.


EEO Statement

We are committed to fostering a diverse and inclusive workplace. As an Equal Employment Opportunity (EEO) employer, we ensure that all employment decisions are based on merit, qualifications, and business needs. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status. We provide a work environment free from discrimination and harassment, and we celebrate diversity by creating an inclusive environment for all employees.