What are the responsibilities and job description for the Customer Service - Billing position at Guardian Pharmacy?
- Contacts payers for medical claims status, followup denials, or partial payments
- Obtains payer requirements for timely adjudication of claims
- Files claims with appropriate documentation attached
- Pursues, maintains, and communicates medical coverage/guideline changes/updates
- Processes all incoming and outgoing correspondence as assigned
- Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company
- Helps facilitate interoffice communication on error and denial trends
- Initiates the review/appeals process on disputed claims
- Researches credit balances and initiates refunds as required
- Documents all activity in customer's computer account
- Answers Accounts Receivable phone inquiries
- Works assigned RBCO reports
- Available to assist other PACs with questions or collection needs
- Acts as liaison between staff and management
#CC
Customer Service
Stephen Joseph Inc -
Lubbock, TX
IT CUSTOMER SERVICE TECHNICIAN
Midland College -
Midland, TX
Customer Service Counselor
Medical Center Hospital -
Odessa, TX
