About the Company
Kaiser Permanente is one of the largest non-profit healthcare plans in the United States, serving millions of members. Dedicated to providing high-quality, affordable health care services and improving the health of our members and the communities we serve. We offer a supportive work environment, opportunities for professional growth, and a commitment to employee well-being.
Job Description
We are seeking a detail-oriented and organized Pharmacy Billing Coordinator to join our administrative team in Downtown San Jose. In this role, you will be responsible for the accurate and timely submission of pharmacy claims, resolving billing discrepancies, and ensuring compliance with all regulatory guidelines. This position focuses heavily on administrative tasks, requiring strong organizational skills and a meticulous approach to data entry and record-keeping. Enjoy a stable income and contribute to our mission of providing excellent patient care.
Key Responsibilities
- Process and submit pharmacy claims to various insurance providers, ensuring accuracy and completeness.
- Investigate and resolve denied or rejected claims promptly, identifying root causes and implementing corrective actions.
- Communicate effectively with patients, pharmacies, and insurance companies to clarify billing issues and collect necessary information.
- Maintain up-to-date knowledge of pharmacy billing regulations, coding guidelines (e.g., CPT, HCPCS), and payer policies.
- Reconcile payment discrepancies and manage accounts receivable related to pharmacy services.
- Ensure strict adherence to HIPAA guidelines and patient confidentiality.
- Assist with month-end closing procedures related to pharmacy billing and revenue.
- Support administrative functions within the pharmacy department as needed.
Required Skills
- Minimum of 1 year of experience in medical or pharmacy billing.
- Proficiency with medical billing software and electronic health record (EHR) systems.
- Strong understanding of insurance claim submission processes and denial management.
- Excellent attention to detail and accuracy in data entry.
- Solid communication skills, both written and verbal.
- Ability to work independently and as part of a team in a fast-paced environment.
- High school diploma or equivalent.
Preferred Qualifications
- Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field.
- Certification in Medical Billing and Coding (e.g., CPC, CPB).
- Experience with pharmacy-specific billing systems (e.g., Epic Willow, Rx30).
- Knowledge of pharmacy terminology and drug classifications.
Perks & Benefits
- Comprehensive health, dental, and vision insurance.
- Paid time off and holidays.
- 401(k) retirement plan with company match.
- Life and disability insurance.
- Tuition reimbursement program.
- Employee assistance program.
- Opportunities for professional development and career advancement.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
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