State of South Carolina
Lexington County, South Carolina
Pharmacy Billing Technician / Program Coordinator I (Finance- Central Office)
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Apply to Pharmacy Billing Technician / Program Coordinator I (Finance- Central Office) at State of South CarolinaJob details
- Location
- Lexington County, South Carolina
- Work type
- Onsite
- Compensation
- $45,300 - $61,100/yr
- Posted
- yesterday
- Apply on
- governmentjobs.com
About this role
About the Department
Are you passionate about making a real difference in people's lives? Join our team at the Office of Mental Health where we are dedicated to providing compassionate and accessible care to our community. We are seeking a Pharmacy Billing Technician / Program Coordinator I who is motivated to help individuals and families navigate life's challenges and achieve long-term wellness. If you want to use your skills to build a healthier, more resilient community, we encourage you to apply.
This position is located at the SC Department of Behavioral Health and Developmental Disabilities (DBHDD), Central Office, 400 Otarre Parkway Cayce, SC 29033.In this role, you will ensure timely and accurate processing of claims for William S Hall Inpatient Psychiatric Hospital and make sure all room and board and physician billing is completed monthly. You must follow up on claims filed and ensure payment is received by all insurance carriers and third party payors.
Responsibilities for the Pharmacy Billing Technician include:
- Create claims once charges are closed and accurately allocated. Prepare, batch and review all claims. Submit all claims electronically in the Avatar system and FTP them into our clearinghouse for psychiatric room & board and physician billing.
- Review after submission for errors or rejections in Emedix and correct any issues to insure proper and timely processing.
- Perform appropriate follow up activities to ensure timely payment and to minimize aged claims. Maintain files of documentation related to claims processing. Follow up and payments or denials. Contact any insurance company or federal or state agency to obtain and/or verify any available benefits or insurance coverage information. Submit letters for collections to clients for all insurance carriers as needed on a daily basis.
- Review client ledgers for accurate accounting of client charges, payments and adjustments and report to supervisor if there are any errors. Prepare paperwork for any waivers that are required.
- Keep track of all insurance prior authorizations and make notes in Financial Eligibility and Managed Care in Avatar on a daily basis. Keep track of morning reports for incoming clients to be aware of new clients and folders.
- Maintain Medicaid tracking log for pharmacy purposes.
- Assist with mail distribution for the department.
Position Duties
- A bachelor's degree and be a Certified Pharmacy Technician with relevant program experience.
- Must be a Certified Pharmacy Technician as defined by the SCLLRB with at least (two) 2 years of billing experience.
Minimum Qualifications
- Bilingual abilities in English and Spanish (or another language) are a plus.
Other Qualifications
Post hire, you must:
- Have the knowledge of Jaws, regulations, policies and procedures relevant to the area of employment.
- Be able to exercise judgement and discretion and be able to establish and maintain effective working relationships.
- Be able to interpret and apply Jaws, regulations, policies and procedures.
The Department of Behavioral Health and Developmental Disabilities is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position.
The Department of Behavioral Health and Developmental Disabilities offers an exceptional benefits package for full time (FTE) employees:
- Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children. Click here for additional information.
- 15 days annual (vacation) leave per year
- 15 days sick leave per year
- 13 paid holidays
- Paid Parental Leave
- S.C. Deferred Compensation Program available (S.C. Deferred Compensation)
- Retirement benefit choices *
*Enrollment in one of the listed plans is required for all FTE employees; please refer to the contribution section of hyperlinked retirement sites for the current contribution rate of gross pay.
Benefits
Benefits for State Employees
The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.
Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
Supplemental Questions
01
Have you ever been employed by the SC Dept. of Behavioral Health and Developmental Disabilities - Office of Mental Health (OMH) (formerly SC Department of Mental Health)?
- Yes
- No
02
If you have ever been convicted of a misdemeanor or felony criminal offense (other than in a Juvenile Court), you MUST list this information (unless you have taken steps to expunge your record.) This includes fraudulent checks, driving under suspension, disorderly conduct, shoplifting, etc. *Please note that conviction of a criminal offense does not bar you from employment in all cases; each conviction is evaluated individually. However, failure to list convictions is considered falsification of the application and WILL BE grounds for termination, if hired. It is your responsibility to know what is on your criminal record. If you have charges on your record that appear without a court disposition (result) you may be asked to provide that information if selected for employment. If you have questions, please inquire before you complete your application.
PLEASE NOTE THAT NOT ANSWERING THIS QUESTION WILL DEEM YOUR APPLICATION AS INCOMPLETE AND IT WILL NOT BE CONSIDERED.
Please indicate your understanding to this statement by checking the box below.
- Checking this box indicates my understanding to the above referenced statement.
03
Do you have a bachelor's degree and are you a Certified Pharmacy Technician with relevant program experience?
- Yes
- No
04
Are you a Certified Pharmacy Technician?
- Yes
- No
05
How long have you been a medical biller?
- 0 to under 1 year
- 1 year to under 3 years
- 3 years to under 5 years
- 5+ years
06
How many years of experience do you have with Microsoft Excel?
- 0 to under 1 year
- 1 year to under 3 years
- 3 years to under 5 years
- 5+ years
07
How many years of experience do you have with Microsoft Word?
- 0 years
- 1 year
- 2- 3 years
- 4+ years
08
Please indicate your salary requirements (please be specific and not put "negotiable" or "open").
Required Question
Agency Information
EmployerState of South CarolinaAgency Department of Behavioral Health and Developmental Disabilities Address 400 Otarre ParkwayCayce, South Carolina, 29033 PhoneOIDD - (803)898-9600
OMH - (803) 898-8600
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