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Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Ensures accurate and timely billing for pharmacy-related services. Prepares and submits claims to insurance providers, resolves billing discrepancies, and works with patients, payers, and internal teams to ensure prompt reimbursement and minimize claim denials.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
- Five years' relevant experience: Preferred
- Experience and familiarity with pharmacy terminology and coding standards (e.g., NCPDP, HCPCS, ICD-10): Preferred
Licenses/Certifications:
- Retail pharmacy billing training course: Required
- RPBC: Required
Essential Functions:
- Reviews financial statements to identify and correct payment inconsistencies or errors. Posts charges and payments to ensure all billing entries are accurate and compliant.
- Prepares and issues invoices and billing documentation to customers or patients. -Submits billing data and claims to appropriate insurance providers.
- Tracks and processes insurance claims from submission to payment. Investigates and resolves denial instances to ensure maximum reimbursement.
- Monitors and implements billing procedures and systems that support compliance and efficiency.
- Supports the deployment and reporting of pharmacy-related billing programs and initiatives.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
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