Director of Billing

Position Summary: The Director of Billing is directly responsible for all Billing operations in the company. This position is highly visible and requires a strong leader with the ability to multi-task, prioritize, plan, and lead the Billing Department staff.  The Director of Billing will also work with senior management and other department heads on other related pharmacy projects including improving workflow and processes. The company is currently undergoing pharmacy management software changes at all locations.  The Director of Billing will be directly involved in these transitions as well as working to centralize all billing functions into one cohesive department. This person is expected to work diligently to enhance the department’s and entire organization’s reputations by accepting ownership for accomplishing new and different requests and by exploring opportunities and projects to add value.

Responsibilities/Duties:

The Director will report to the Chief Operating Officer and will develop, recommend, and implement/coordinate program and policies for all pertinent Billing functions, including but not limited to:

  • Preparation of bills and invoices
  • Management of accounts receivables including setting up an auto-pay system
  • Prior authorizations
  • Private pay, Medicare, hospice, and other pharmacy-related billing
  • Audits from PBMs/payers
  • Assisting with the onboarding of new clients or patients
  • Setting up an internal audit system including daily, weekly, monthly audits to ensure proper payment of claims
  • Reconciliation of payments
  • Responding to customer calls for billing-related questions
  • Communication with GSAOs (MHA, Access Health) and payers to resolve issues
  • Other duties as assigned

Required Skills:

  • Management and leadership skills and experience are very important to manage direct reports and to interact with people in different departments.
  • Attention to detail and superior organizational skills are critical for this position.
  • Problem Solving – Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully.
  • Customer Service – Manages difficult or emotional situations professionally; responds promptly to clients’ or patients’ needs; responds to requests for service and assistance; meets commitments.
  • Oral Communication – Speaks clearly and persuasively in positive or negative situations; listens and receives clarification; responds appropriately and timely to questions; actively participates in meetings.
  • Written Communication – Writes clearly and informatively; presents numerical data effectively; able to read and interpret written information. Effectively communicates via email or other written communications with professionalism.
  • Teamwork – Provides and welcomes feedback; contributes to building a positive team spirit; supports everyone’s efforts to succeed.
  • Quality Management – Looks for ways to improve and promote quality; demonstrates accuracy and thoroughness.
  • Diversity – Demonstrates knowledge of EEOC policy; shows respect and sensitivity for cultural differences; promotes a harassment-free environment.
  • Ethics – Maintains strict confidentiality; treats people with respect; works ethically with integrity; upholds organizational values.
  • Attendance/Punctuality – Is consistently at work when scheduled and on time.

            *Background check and pre-employment drug screen required.

Experience:

  • At least 10 years of professional or work experience is required.
  • At least 5 years of pharmacy billing experience is required.
  • At least 5 years of management experience is required.
  • Microsoft Office/Open Office knowledge required – specifically Excel.
  • Knowledge of long term care pharmacy is a plus. 

Education:

  • A Bachelor’s degree is preferred but may be offset with extensive, relevant professional experience.
  • Minimum of a High School Diploma/GED equivalent. 

Professional Licenses/Certifications:

  • None requested for this position. 

Job Requirements:

  • Sitting for 6 – 8 hours
  • Having a range of motion from kneeling, to bending over to raising arms above head
  • Lifting and/or carrying up to 40 lbs
  • Reading fine and/or small print
  • Working with a computer screen for 1-8 hours a day

Work Status:

  • Full-time:                     40+ Hrs/Week
  • Monday – Friday:        8:30 am – 6:00 pm
  • Saturday rotations:       9:00 am – 5:00 pm

Benefits:

  • Insurance – Health, dental, vision, Aflac, flexible spending
  • Leave and Holidays – ETO, Personal unpaid time off,  paid holidays
  • Retirement Plans – Employee Stock Ownership Plan (ESOP), 401(K) and Roth Plans 

Location: Primary headquarters is in Madison, WI

Travel: 5% – 10%

This specification is intended to indicate the kinds of tasks and levels of work that will be required of positions that will be given this title and shall not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. The use of a particular expression or illustration describing duties shall not be held to exclude other duties not mentioned. Ability to competently perform all the essential duties of the position, with or without reasonable accommodation, demonstrated commitment to effective customer service delivery, and the ability to work productively as a member of a team or work group are basic requirements of all positions at Mallatt’s Pharmacy. 

Mallatt’s Pharmacy is an EEO/AA employer.                                  January 2015

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