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Pharmacy Billing Coordinator

AT Kindbody
Kindbody

Pharmacy Billing Coordinator

New York, NY / Remote

About Kindbody

Kindbody is the leading fertility clinic network and global family-building benefits provider for employers, offering the full spectrum of reproductive care from preconception to postpartum through menopause. Kindbody is the trusted fertility benefits provider for 132 leading employers, covering almost 2.9 million lives. As the fertility benefits provider, technology platform, and direct provider of care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower cost, making fertility care more affordable and accessible for all. Kindbody has raised $315 million in debt and equity funding from leading investors, including Perceptive Advisors, JP Morgan Chase’s Morgan Health, GV (formerly Google Ventures), RRE Ventures, Claritas Health Ventures, Rock Springs Capital, Distributed Ventures, Whatif Ventures and TQ Ventures. Visit www.kindbody.com. and follow us on Instagram, X, and Linkedin.

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Kindbody’s clinically managed program covers the full spectrum of reproductive health, including both female and male fertility, which encompasses fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as a full continuum of reproductive care including physical, mental, and emotional support.

About the Role

As an experienced Billing Coordinator for pharmacy accounts, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated professional to join our team to support our clinic and operations team. 

This role will greatly emphasize customer relations- you must be comfortable interacting, communicating, and working directly with patients and pharmacy staff.

Responsibilities

  • Daily communication with the pharmacy regarding patient demographic details and prescription orders
  • Work in conjunction with pharmacy to invoice patients and daily reconciliation of prescriptions
  • Entry of billable items into the practice management system
  • Handle patient intake phone calls and email inquiries, review light clinical information, and review in-network insurance information with the patient
  • Verify patient eligibility and benefits and provide details 
  • Review of orders with patients to include employer benefit coverage and out-of-pocket responsibilities
  • Respond to and complete internal communication flags of patients needing to be contacted or problems that need to be resolved.
  • Answer any incoming patient emails on financial matters, triaging any non-financial needs or questions
  • Maintains current knowledge in pharmacy billing requirements related to employer/third-party 
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments
  • Research and resolve any discrepancies, denials, appeals, collections
  • Set up patient payment plans and work collection accounts
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Process claims and post payments.
  • Process insurance payments, including balance billing to secondary insurance and/or directly to patients.
  • Ensure timely follow-up on all unpaid claims utilizing monthly aging reports
  • Analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims.
  • Properly note the system and maintain all documentation required for compliant claim submission.
  • Prepare and process refund requests.
  • Verify and post patient amounts.
  • Respond to a high volume of telephone inquiries in a positive and professional manner, and resolve and follow up on all issues within designated timeframes.
  • Meet positional metrics and benchmarks.
  • Maintain the highest degree of ethics when handling patient payments and bill processing
  • Follow all department standard operating procedures carefully and accurately
  • Other duties as assigned by the Director.

 

Who You Are 

  • 2+ years of healthcare experience in a fast-paced, customer-focused environment, Fertility financial experience, and pharmacy a plus
  • A passion for women’s health, and fertility is a plus
  • Strong written and verbal communication skills & a team player
  • Willingness to be flexible, roll with the punches, multi-task, and troubleshoot problems
  • Detail-oriented with strong organizational skills
  • Exemplifies amazing customer service skills and professionalism
  • Experience in CPT and ICD-10 coding; familiarity with medical terminology
  • Ability to manage relationships with various insurance payers
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
  • Certificate from an accredited medical and billing school.

Perks and Benefits 

Pay range for this position is between $24.00-$26.00 per hour ( depending on experience, education, and geographical location)

Kindbody values our employees and wants to do everything to ensure that our employees are happy and professionally fulfilled, but also that they have the opportunity to be healthy.  We are committed to providing a number of affordable and valuable health and wellness benefits to our full time employees, such as paid vacation and sick time; paid time off to vote; medical, dental and vision insurance; FSA + HSA options; Company-paid life insurance; Short Term + Long Term Disability options; Paid Parental Leave (up to 12 weeks fully paid dependent on years of service); 401k plans;  monthly guided meditation and two free cycles of IVF/IUI or egg freezing and free egg storage for as long as you are employed.

Additional benefits, such as paid holidays, commuter transit benefits, job training & development opportunities, social events and wellness programming are also available.  We are constantly reevaluating our benefits to ensure they meet the needs of our employees.

In an effort to protect our employees and our patients, Kindbody strongly encourages all employees to be fully vaccinated against Covid-19. However, some states are requiring that all healthcare workers be fully vaccinated. Candidates seeking employment at Kindbody in the following states will be required to be fully vaccinated against COVID-19 and provide proof of your COVID-19 vaccine prior to your start date of employment: California, Colorado, Illinois, New York, New Jersey and Washington. All other states are exempt from this requirement. If you cannot receive the COVID-19 vaccine because of a qualifying legal reason, you may request an exception to this requirement from the Company.

Please note that Kindbody interview requests and job offers only originate from an @kindbody.com email address. Kindbody will also never ask for bank account information (including routing or account numbers), social security numbers, passwords or any other sensitive information to be delivered over email or phone. Always reference our career site, careersatkindbody, to see if the position that you are applying to is legitimate. If you receive a scam issue or a security issue involving Kindbody please notify us at talent@kindbody.com.

 

 

Kindbody is an Equal Employment Opportunity employer. We strongly support the principles of equal employment opportunity in all of our employment and hiring policies and practices and believe that a more diverse and inclusive workplace will benefit our patients, care partners, and Kindbody employees. We administer our employment and hiring policies and practices without regard to race, color, religion, sex, gender, gender identity, gender expression, pregnancy, citizenship, national origin, ancestry, age, disability, medical condition, military service, military or veteran status, genetic information, creed, marital status, sexual orientation, or any other status protected by federal, state, or local law.

#LI-Remote

Client-provided location(s): New York, NY, USA
Job ID: 7492656002
Employment Type: Other

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Health Reimbursement Account
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short-Term Disability
    • Long-Term Disability
    • FSA
    • HSA
  • Parental Benefits

    • Birth Parent or Maternity Leave
    • Non-Birth Parent or Paternity Leave
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
  • Office Life and Perks

    • Commuter Benefits Program
    • Casual Dress
    • Happy Hours
    • Snacks
    • Company Outings
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
    • Leave of Absence
  • Financial and Retirement

    • 401(K)
    • Company Equity
    • Performance Bonus
    • Relocation Assistance
  • Professional Development

    • Learning and Development Stipend
    • Promote From Within
    • Access to Online Courses
    • Lunch and Learns
  • Diversity and Inclusion

    • Founder led
    • Woman founded/led