A typical day in the life of a Billing Representative will include the following:

• Assist with determining coverage and access options available for a specific medication or procedure
• Collect and analyze information and resources related to local, regional or national payer coverage or claim submission process
• Clearly articulate complex reimbursement and billing information to HCPs, their office staff and/or patients to ensure understanding of coverage benefit and financial responsibility
• Educate provider offices on local and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes
• Educate offices about the medical necessity requirements for coverage and provide education support for the office to submit pre-determinations, appeals and/or peer to peer reviews with payors, as applicable
• Assist offices to understand payor denied or underpaid claims and provide education, as applicable, for the office to resolve of rejected, denied or underpaid claims
• Educate HCPs, their office staff and/or patients on appropriate resources for questions about co-pay, coinsurance, out of pocket costs, deductibles and other financial assistance or coverage related questions
• Serve as a patient advocate and enhance the customer experience for all callers by acting as a single point of contact and a compassionate voice for all providers and patients

This job might be for you if (must have requirements of the role):

• Detail oriented
• Professional telephone etiquette
• Basic computer knowledge
• Ability to multitask effectively
• Ability to recognize emotions and their effects
• Sureness about self-worth and capabilities
• Manage disruptive impulses
• Maintain standards of honesty and integrity
• Take responsibility for performance
• Be adaptable and handle change with flexibility
• Be innovative and open to new ideas
• Achievement driven; constant striving to improve or to meet a standard of excellence
• Align with the goals of the group or organization
• Ready to take initiative and act on opportunities
• Be optimistic and pursue goals persistently despite obstacles and setbacks
• Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners
• Communicate clearly and send clear messages
• Ability to consume complex coverage policy changes and convert complexity to educate lay persons
• Adaptability to change
• Personal initiative and commitment to team and organizational goals
• Ability to work effectively within a team
• A positive attitude!

Education and Experience:

• Minimum of (two) 2 years of billing and coding experience is required with knowledge of HCPCS (ICD-10), CPT coding strongly preferred
• High School diploma or equivalent is required; Associate degree or higher preferred
• Strong understanding of medical terminology background is strongly preferred
• Background working directly within physician practices or outpatient clinics billing commercial insurances, Medicare, and Medicaid preferred
• Bi-lingual in English and Spanish or Chinese/Mandarin is a plus
• All employees working onsite in a PharmaCord facility are required to be vaccinated against COVID-19
• We are located in the River Ridge Commerce Center at 150 Hilton Drive, Jeffersonville, IN. You must be willing to work in this location; PharmaCord does reimburse for tolls if applicable, at the frequent user rate. This rate is applied after 20 round trips per month (valued at $624.00 per year).

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Must be able to type 35 WPM with 97% accuracy.
• Although very minimal, flexibility to travel as needed is preferred.
• This is an office-based position, the ability to sit for extended periods of time is necessary
• This position requires ability to work a standard 8.5-hour standard shifts between our business operating hours of 8am - 8pm Monday through Friday. A shift will be assigned and may change depending on business need.
• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
• Due to investment in program specific training, candidates are expected to maintain role for a minimum of 6 months, or within a client-facing role, prior to being considered eligible for lateral or promotion level move. PharmaCord is committed to creating a strong company culture that values collaboration, employee development, and promotion from within. Exceptions will be reviewed on a case-by-case basis to assess business need and service impact.

Once you land this position, you’ll get to enjoy:

• Working for PharmaCord - voted Best Places to Work in Kentucky for 2019 and 2021
• Opportunities for advancement with a company that supports personal and professional growth
• A challenging, stimulating work environment that encourages new ideas
• Exposure to many learning and development opportunities
• Playing a crucial part in the lives of our patients, physicians, and pharmacies by enhancing the patient services experience
• Our new state of the art Headquarters building offering many amenities including collaborations spaces, outdoor dining, walking path, marketplace café, and more!
• Competitive compensation with merit increases
• Comprehensive benefits package including:
  • Competitive 401(k) company match
  • Affordable Medical, Dental, and Vision benefits - PharmaCord covers 75% of Medical Premiums for our employees
  • Generous HSA employer contribution
  • Company paid Life Insurance
  • Voluntary Life and AD&D Insurance
  • Short-term Disability (STD)
  • Long-term Disability (LTD)
  • Paid Parental Leave of Absence
  • Wellness and Employee Assistance Programs
  • PTO benefits and paid holidays
  • Employee Referral Program
  • Ambassador Program
  • Tuition reimbursement program
  • Toll reimbursement program (valued at $624.00 per year)