Billing Operations Specialist
5 hours ago
PANTHERx Rare Pharmacy is seeking a highly skilled Billing Operations Specialist to join our team. As a key member of our operations team, you will be responsible for billing and collecting assigned payer accounts, working closely with payers to determine billing guidelines for our rare disease pharmacy.
Key Responsibilities- Bills specialty pharmacy claims in NCPDP and CMS 1500 formats
- Researches Electronic 837 capabilities and processes refunds as required
- Collections on past due assigned accounts and prepares Bad Debt Write-Offs as needed
- Reconciles member accounts and handles multiple tasks to meet deadlines
- Bachelor's degree in business or related field required
- Detailed understanding of medical and pharmacy billing/collections practices with all payer types
- Excellent oral and written communication skills and ability to communicate effectively with all levels of management
- 2 years of medical billing/collections knowledge in a specialty pharmacy setting
- 837 (EDI) medical billing knowledge
This role operates in a professional office environment and requires the ability to work in a fast-paced environment with multiple tasks and deadlines.
BenefitsPANTHERx Rare Pharmacy offers a comprehensive benefits package, including medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program.
Equal Opportunity EmployerPANTHERx Rare Pharmacy is an equal opportunity employer and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.
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