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Billing and Collections Rep I - 1st Shift

Date: Aug 5, 2019

Location: Taunton, MA, US

Company: PharMerica

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PharMerica Corporation is a premier institutional pharmacy services provider, dedicated to providing quality patient care and innovative pharmacy solutions to institutional customers and patients in long-term care settings. With nearly $2 billion in annual revenues, PharMerica is one of the nation's largest institutional pharmacy companies. PharMerica operates more than 100 institutional pharmacies in 45 states and serves nursing facilities that care for approximately 350,000 patients.



Essential Functions:

  • Main function will be to evaluate older entries in Unapplied Cash – by payer groups – to determine a root cause issue that resulted in the claims payment to be moved to Unapplied Cash; especially those that have not been recouped by the payer. 
  • Associate will need to support and document the correct action needed to resolve UAC entries.  This may include determining if payments should be re-applied to claims or action taken to communicate with payers to take back funds.
  • Associate may need to initiate refunds, provide detailed spreadsheets, research Provider Line Balance or provide other information to 3rd Party payers that will result in a successful reconciliation of funds. 
  • Ensures cash is posted accurately and timely in accordance with the cash processing center standards through the AS400.
  • Researches and determines reasons and patterns of payments to unapplied cash accounts.
  • Communicates with 3rd Party Payers, vendors, collection centers, internal departments and potentially pharmacies to achieve appropriate posting or reconciliation of cash.
  • Tracks and reports daily and weekly productivity, as well as, maintains a tracking system to ensure communicated issues are resolved and completed timely.
  • Works with Department Manager in identifying any payer issues that may require special attention or need escalation.



    Minimum Qualifications:

           Education/Learning Experience

  • Required: High School graduate, GED
  • Desired:   2 year degree (minimum) – Associate’s Degree, Bachelor’s Degree


    Work Experience

  • Required: 3 years 3rd Party billing, reconciliation, adjudication, etc.
  • Desired: Third Party Billing or collections/billing experience in the healthcare industry, AS-400 computer experience and banking or cash reconciliation experience



  • Required: Proficiency in MS Office Products (Excel, Word) and basic computer knowledge
  • Desired:  3rd Party Claims processing. adjudication or reconciliation experience


    Behavior Competencies

  • Required: Communication, Problem Solving, Detail Orientation and Teamwork


    EOE M/F/D/V

Accelerate Your Career with PharMerica!

Nearest Major Market: New Bedford

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