Symbria Rx Services is seeking a Third Party Cycle Billing Specialist to add to our growing team.

The Third Party Cycle Billing Specialist is responsible for ensuring technically correct, accurate, and timely monthly adjudication of unit dose cycle batches and rejections.

Check out our video about Symbria and how you can make a difference as an employee owner!

• Responsible for the technically correct, accurate, and timely monthly adjudication of unit dose transactions and rejections, including all necessary interaction with insurance companies to resolve issues timely.
• Ensure claims are posted accurately and in a timely manner.
• Responsible for entire process of obtaining approval for prescriptions that need prior authorization.
• Collaborate with Clinical Success Team (“CST”) to obtain approval from client or customer on non-covered medications, if required.
• Assist Billing Technicians with rebilling efforts and processing any other open batches, as needed.
• Effectively communicate issues that may prevent batches from being posted, as needed.
• Assume primary responsibility for billing for Hospice services.
• Assist with Third Party Audits, as requested.
• Any and all other duties as assigned.

• High school diploma or equivalent
• Pharmacy technician license required; national certification preferred.

• Experience with long-term care or retail pharmacy billing, minimum five (5) years.
• Experience in a similar role involving accounts receivable or financial customer service, minimum two (2) years.
• Strong organizational and follow-up skills with clear ability to adhere to deadlines.
• Detail oriented with effective time management skills.
• Familiarity with billing software and documenting management systems.

• Software skills:

• Experience with billing and accounting software for managing accounts, processing payments, and reconciling reports;
• Advanced knowledge for Microsoft products.

Why work for us?

At Symbria our employees act like owners – because we are owners!  As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents.  Our teams utilize insights and analytics to drive better health outcomes for our partnered post-acute and senior living communities while providing them with flexible service options.

Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee-owners work together:

• Integrity – Honest, Fairness and ethics
• Compassion – Commitment to serving seniors
• Stewardship – Maximizing mission and margin
• Innovation – Striving to enhance our value to your organization
• Teamwork – Working together unselfishly toward goals

As an employee-owner, Symbria’s success becomes your success.  In addition, we provide:

• Competitive pay, aligned with market guidelines
• Full Benefits Package, including very generous paid time off plans
• Professional liability coverage
• 100% employer-funded ESOP retirement plan
• 401(k) and Roth(k) plans
• Continuing education
• Credit union membership

All applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service.