Pharmacy Billing Specialist

2 weeks ago


Washington DC, United States Insight Global Full time

Pharmacy Billing Specialist Location: Tukwila, WA
Type: Full-Time | M–F, 8:30 AM–5:00 PM
Overview
We’re seeking a detail-oriented Pharmacy Billing Specialist to join our infusion and pharmacy services team. This role is critical to ensuring revenue integrity through accurate billing, auditing, and claims processing. You’ll collaborate with multiple departments to resolve billing issues and improve charge capture processes while working in a fast-paced healthcare environment.

Making sure you fit the guidelines as an applicant for this role is essential, please read the below carefully.
Day-to-Day
Audit, monitor, and analyze complex dispensing and charging information to ensure revenue integrity
Adjudicate infusion and related claims for health insurance benefits and Medicare Part D coverage
Collaborate with internal teams to resolve billing issues and implement process improvements
Review and validate charge capture processes for accuracy and compliance
Maintain accurate documentation and follow up on outstanding claims
Communicate with payers and internal stakeholders to address discrepancies and expedite resolutions

Required Qualifications
~ Active Pharmacy Technician License
~ Minimum 2 years of experience in healthcare or pharmacy billing, collections, or medical claims processing
~2 years of experience as a pharmacy technician in a specialty setting (e.g., Long-Term Care, Infusion, Specialty Pharmacy) OR 3 years in an outpatient pharmacy setting
~ Proficiency in data entry and computer systems


Preferred Qualifications
Experience with infusion billing and specialty pharmacy workflows
Familiarity with Medicare Part D and commercial insurance adjudication

What Makes This Role Stand Out?
Opportunity to work in a collaborative healthcare environment
Direct impact on revenue integrity and patient care
Pathway to permanent employment after contract period

$24.00 - $27.00 per hour
Exact compensation may vary based on several factors, including skills, experience, and education. xrczosw
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.



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