Careers With Purpose
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: Sanford Broadway Clinic
Location: Fargo, ND
Address: 737 Broadway N, Fargo, ND 58102, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $15.00 - $23.00
Job Summary
The Pharmacy Business Office Specialist, supports retail pharmacy operations. The position is Monday-Friday no weekends or holidays. Hours are 8:00-4:30 with a half hour lunch. Friday is designated jean day, one of the perks for our small unique department.
We are looking for candidates who are, self-motivated, able to work independently, have an attention detail, and an understanding of insurance. If you are looking for an exciting and challenging career in the world of retail pharmacy, this could be the place for you. The Pharmacy Business Specialist is a unique position which supports all of the Sanford owned retail pharmacies, which includes: Broadway, I94, South University, Moorhead, Detroit Lakes, Bemidji, Thief River Falls, and Alexandria.
We are a small department with much responsibility. This position requires attention to detail, flexibility, ability to work independently, able to stay on task, and a unique understanding of insurance.
The Pharmacy Business Specialist’s duties and responsibilities are as follows:
Mail distribution for pharmacy
Daily deposits both insurance and personal payments
CARS (Cash Reconciliation Solutions)
Tills
Insurance benefit verification for our Home Infusion book of business
AR Follow up ensuring proper payment has been received
Prior authorizations
SPAP which is our (Pharmacy Financial Assistance Program)
Monitoring customer accounts and statements
Collection process
Running end of month reports for Finance
Medicare and third party audits
Patient refunds and rebilling prescriptions
Customer service
Resource / trouble shooting for pharmacists
Recording pharmacy payments in Inmar, (our reconciliation company)
Monitoring Medicare claims to ensure payment has been received by all payers.
Working denied claims
Each staff member is also required to attend webinars through Noridian.
(This is essential in staying current with any changes / requirements of Medicare. This information is then shared to educate pharmacy staff regarding any changes or processes).
Qualifications
High school diploma or equivalent. Post-secondary education in medical billing and insurance helpful.
Six months’ related work experience in the medical and or pharmacy field preferred. Computer skills essential.
Knowledge of medical billing / insurance helpful.
Benefits
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0191465
Job Function: Revenue Cycle
Featured: No
