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Pharmacy Billing Solutions Specialist

PARTNERS IN HOME CARE, INC.
  • Missoula, MT
  • Full-time
10 days ago

Job Description

Partners in Home Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Position Summary The Pharmacy Billing Solutions Specialist is an individual-contributor role responsible for accurate, timely billing and account resolution for Partners in Home Care's Solutions and Pharmacy services. The position serves as a subject matter resource for pharmacy billing, reimbursement, and revenue-cycle problem resolution and is dedicated to post-service work in WellSky CareTend, including charge capture, claim preparation and submission, rejection correction, accounts receivable follow-up, denial and appeal resolution, underpayment research, and billing reporting. Front-end referral intake, benefit verification, prior authorization, and pre-service financial counseling remain the responsibility of the Intake Specialist and other designated departments. The Pharmacy Billing Solutions Specialist reviews completed information only as necessary to establish billing readiness, returns incomplete items to the responsible team, and maintains clear, audit-ready billing documentation in CareTend. This position has no supervisory or lead responsibilities. Why this role matters · Dedicated billing ownership converts completed pharmacy services into accurate claims and timely reimbursement. · Clear handoffs between Intake, Pharmacy, Nursing, Delivery, and Billing reduce rework while preserving role accountability. · Strong claim follow-up, denial prevention, and root-cause analysis improve clean-claim performance, first-pass payment, and A/R results.

Numbers & Facts

LocationMissoula, MT
Job TypeFull-time
IndustryHealthcare Services
Company Size50 to 99 employees
Year Founded1995
Websitehttp://www.maineinhomecare.com

Benefits

Subsidized Commuting, Employee Referral Program, Work From Home

About Company

In-Home Care is located at 30 Western Avenue in East Millinocket. We have been providing home care to family and loved ones for more than 20 years. Since 2006 In-Home Care has operated under the direction of Richard McLaughlin who grew up in Medway and is a life long resident of the tri-town area.  

In-Home Care's service area covers Penobscot, Piscataquis and Aroostook Counties. We have always been committed to bringing the highest quality of care to our clients. We are dedicated to seeing the clients in all of the communities that we serve lead a safe, happy and healthy life in their home. 

A Brief History

At Home Care started in August of 1995 when John Bouchard was caring for his Mother at home. After seeing the significant needs of his mother and others in the community, John decided to start an agency to allowed his Mother and other aging seniors to stay in their homes longer. John changed the name of the business to In-Home Care in 2001. His mother was with the Agency and stayed in her home until December 2003.

In 2006, Richard and Colleen McLaughlin purchased In-Home Care from John.  A year later, Richard also bought Area Home Care in Lincoln. Since 2007, Richard continued to grow the company  which currently serves close to 100 clients and has over 60 employees!

In early 2019, Mathew Shankweiler purchased In-Home Care.  He is sister is mentally challenged and Mathew's deep understanding of clients needs combined with his modern business approach, will bring In-Home Care into an age of growth, increased employee satisfaction and improved efficiencies.  These impacts will have a great effect on our clients care, family communications and our ability to stay competitive for years to come.  It's an exciting time at In-Home Care!

Join us and come along for the ride!

Mission Statement

In-Home Care, Inc is committed to helping our elderly and disabled live independently at home. We believe in the elderly's right to choose home care as an alternative to institutional care. We actively support them by giving them access to the quality personal care services they need to maintain their activities of daily living (ADLs) in the least restrictive, safe environment possible. "IN THEIR HOME"

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