Job Responsibilities: Specialist II
Salary: $20-30/Hour
Company: Walmart
Location: Georgia, USA
Educational Requirements: Bachelor's Degree
Position Summary...
What you'll do...
This isn't always faraway activity
The health and wellness Billing group is seeking out a project-oriented man or woman with an acute interest to information who excels at prioritization and collaboration. As a Billing professional II, you may reply to third-birthday celebration pharmacy audit requests, research declare info, defend pharmacy recoupments and trouble corrective actions and compliance guidance to pharmacy friends. Reporting to the Billing supervisor, you will speak capability concerns, dangers and tendencies at the same time as applying vital thinking abilities to identify capability operational or procedural solutions.
Who we are…
Pharmacy Audit and Billing group that responds to 1/3-birthday party payer audit requests, investigates and demanding situations findings, at the same time as taking pictures insights to power actionable intelligence to mitigate danger and promote pharmacy compliance adherence.
What you’ll do...
- Guide fitness & health in responding to third-celebration audit requests and investigations with the aid of verifying billing and declare info for third celebration payers; gathering records and prescription facts; monitoring audit requests; and making sure accuracy of records, discrepancies, and recoupments.
- Complete work assignments and priorities in health and well-being Audit by way of the use of policies, statistics, and resources; taking part with managers, coworkers, customers, pharmacies, and different business partners. Pick out priorities, closing dates, and expectations; carry out duties; communique of progress and records; decide and suggest improvement possibilities; and adapt to and analyze from alternate, problems, and feedback.
- Identify and reveal past, gift, and future risks inside the audit of groups below evaluation; translating audit findings; accumulating proper enchantment documentation; and making sure audit request deadlines are met.
- Hold and shop HIPAA related information that have to comply with Federal and corporate necessities.
Responsibilities encompass:
- Respond to the 0.33-celebration audit request by reviewing the request and pulling the requested files. Organize the files and send to the 1/3 birthday celebration. Store all the files inside the assigned folder at the side of read receipts.
- Song the prescriptions that are asked from the 1/3-party seller in a tick list for every audit and enter the facts within the Inmar Audit device this is used to run reviews.
- Review the results as a way to be despatched again for each audit to determine if an appeal is wanted. Then at that factor put together the enchantment record request and sent to save with a closing date to get hold of the files. As soon as documents are obtained then assessment to make certain they're accurate and post to the 0.33-birthday celebration supplier.
- Review the finals in an effort to be despatched lower back from the attraction and enter the information within the Inmar Audit tool by means of tagging the prescriptions with the suitable tags that relate to the discrepancies flagged by means of the 0.33 birthday party.
- Proportion any findings and any other facts this is crucial in crew meeting and to your manager.
Minimal qualifications:
- Bachelor’s diploma in commercial enterprise, Healthcare, Compliance, or 3 years’ revel in in healthcare, medical billing, audit, compliance, or pharmacy subject.
- Slight to advanced Excel competencies
- Ought to be inside 50 miles of the Atlanta, GEO workplace
You'll sweep us off our ft if are...
- Challenge count expert in the Pharmacy area
- Pushed to execute and act quickly.
- Technique-minded and search for opportunities to streamline for stepped forward efficiency and effectiveness.
- Strong communication talents to interact with leadership and stakeholders.
- Prepared, disciplined, and might manage more than one tasks concurrently at the same time as achieving results.
Benefits & Perks:
Past competitive pay, you could get hold of incentive awards on your overall performance. Other top notch perks encompass 401(k) suit, inventory purchase plan, paid maternity and parental leave, PTO, a couple of health plans, and plenty greater.
Equal opportunity agency
Walmart, Inc. Is an identical opportunity organization – through preference. We believe we're first-rate geared up to help our associates, clients and the groups we serve live better while we surely know them. That means knowledge, respecting and valuing variety- particular styles, studies, identities, ideas and opinions – while being including all and sundry.
Who we are
Be part of Walmart and your work should help over 275 million global customers stay higher every week. Yes, we're the Fortune #1 employer. However you’ll quickly locate we’re a company who needs you to sense relaxed bringing your entire self to paintings. A profession at Walmart is in which the sector’s maximum complex challenges meet a kinder way of lifestyles. Our undertaking spreads some distance past the partitions of our stores. Join us and you will find out why we're a global leader in diversity and inclusion, sustainability, and network involvement. From day one, you’ll be empowered and geared up to do the exceptional work of your life
Minimum qualifications...
Outlined beneath are the required minimum qualifications for this role. If none are indexed, there are no minimum qualifications.
Minimal qualifications: Bachelor’s diploma in enterprise administration, laptop technological know-how, Finance, Accounting, or associated discipline OR 2 years’ experience in accounting, medical billing, scientific coding, or associated place.
