Quality Supervisor

3 weeks ago

Scarborough, United States Viva Usa, Inc. Full time

Title:

Billing Specialist

Description:

Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Major Medical and Medicaid. Individual must work with LTC facility staff, client pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.

Duties

Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Minimum 1 year experience working with healthcare reimbursement systems. Ability to prioritize daily tasks. Working knowledge of medical terminology. Customer service skills with the ability to work in a team environment. Experience in MS Word, Excel and Outlook. High School Diploma or GED Required .

Experience

Minimum (Required) Qualifications:

(must be met in order to perform the job at the required level) Entry level position; 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast paced, rapidly changing environment Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.

Position Summary

Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, client pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices. Experience with 1500 Forms .

Education

Verifiable High School diploma or GED is required.

Note :

Mon-Fri 7:30 am to 4:00 pm . Onsite as needed . Safety Sensitive . Must live within 1 hour of Monroeville site, will be working in the office the first few weeks with possibility of some days remote and others in the office.

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