Billing Operations Specialist

6 days ago


Pittsburgh, Pennsylvania, United States Pantherx Specialty LLC Full time
Job Title: Billing Operations Specialist

We are seeking a highly skilled Billing Operations Specialist to join our team at Pantherx Specialty LLC. 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.

Responsibilities:
  • Billing and collection of specialty pharmacy claims in NCPDP and CMS 1500 formats
  • Research and processing of refunds as required
  • Denials trending and bad debt write-offs
  • Reconciliation of member accounts
  • Handling multiple tasks and meeting deadlines
Requirements:
  • Bachelor's degree in business or related field
  • Detailed understanding of medical and pharmacy billing/collections practices
  • Excellent communication and problem-solving skills
  • Knowledge of Microsoft Office Suite, especially Excel, Outlook, and PowerPoint
Preferred Qualifications:
  • 2 years of medical billing/collections experience in a specialty pharmacy setting
  • 837 (EDI) medical billing knowledge
Work Environment:

This role operates in a professional office environment, requiring regular use of standard office equipment.

Benefits:

We offer a comprehensive benefit 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. Generous paid time off is also available to all full-time employees.

Pantherx Specialty LLC is an equal opportunity employer, committed to diversity and inclusion in the workplace.


  • **Billing Specialist

    3 weeks ago


    Pittsburgh, Pennsylvania, United States Tech24 Full time

    **Job Summary****About Tech24**Tech24 is a leading provider of innovative solutions for facilities management. We are seeking a highly skilled and detail-oriented **Billing Specialist** to join our team. As a Billing Specialist, you will play a critical role in ensuring the accuracy and efficiency of our financial operations.**Key Responsibilities**Process a...

  • Billing Specialist

    4 weeks ago


    Pittsburgh, Pennsylvania, United States Tech24 Full time

    Financial Operations Role at Tech24We are seeking a detail-oriented individual with experience in billing and/or clerical work to join our fast-paced team as a Billing Specialist. The ideal candidate will exhibit a positive and proactive attitude, strong organizational skills, and the ability to prioritize tasks effectively.Key Responsibilities:Process a...


  • Pittsburgh, Pennsylvania, United States Eckert Seamans Full time

    About the RoleEckert Seamans is seeking a highly skilled E-billing Specialist to join our team. As an E-billing Specialist, you will play a critical role in ensuring the smooth operation of our electronic billing process.Key ResponsibilitiesSet up and maintain new client e-billing setups in eBillingHub and vendor sitesProactively track new matter openings...


  • Pittsburgh, Pennsylvania, United States Tobii DynaVox Full time

    About the RoleWe are seeking a highly skilled and experienced Funded Billing Specialist to join our team at Tobii Dynavox. As a Funded Billing Specialist, you will play a critical role in navigating the complex legal landscape of healthcare financing and ensuring the efficient operational delivery of billing claims to primary insurance companies and...


  • Pittsburgh, Pennsylvania, United States Ford Business Machines Full time

    Job Description**About the Role**We are seeking a highly motivated and detail-oriented Contract Billing Specialist to join our team at Ford Business Machines. As a key member of our accounting team, you will play a crucial role in ensuring accurate and timely billing processes for our contractual agreements.Key Responsibilities:Interpret contractual terms...


  • Pittsburgh, Pennsylvania, United States CVS Health Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Billing Representative to join our team at CVS Health. As a Pharmacy Billing Representative, you will play a critical role in ensuring accurate and timely billing practices for our pharmacy operations.Key ResponsibilitiesQualify, prepare, and submit claims to the Copay Assistance programWork with pharmacy...


  • Pittsburgh, Pennsylvania, United States AppleOne Employment Services Full time

    Legal Billing and Collections SpecialistWe are seeking a detail-oriented and organized Legal Billing and Collections Specialist to join our client's team in Downtown Pittsburgh. The ideal candidate will have previous experience in legal billing, collections, and a solid understanding of billing practices specific to the legal industry.Key...


  • Pittsburgh, Pennsylvania, United States Tri-State Orthopaedics Full time

    Job DescriptionTri-State Orthopaedics is seeking a highly skilled Medical Billing Specialist to join their team in the North Hills. This is a full-time opportunity with the possibility of a hybrid arrangement after successful completion of training.Key Responsibilities:Manage all aspects of accounts receivable, including follow-up on insurance and patient...


  • Pittsburgh, Pennsylvania, United States CVS Health Full time

    Job SummaryCVS Health is seeking a highly skilled Pharmacy Billing Specialist to join our team. As a key member of our Revenue Cycle team, you will be responsible for ensuring timely and accurate billing for unbilled claims and ensuring account payment for outstanding balances.Key ResponsibilitiesThird party insurance claim billing and follow up associated...


  • Pittsburgh, Pennsylvania, United States North Pittsburgh Oral Surgery Full time

    Job Title: Billing SpecialistNorth Pittsburgh Oral Surgery is seeking a highly skilled Billing Specialist to join our team. As a key member of our financial team, you will be responsible for ensuring the accuracy and efficiency of our billing processes.Key Responsibilities:Verify patient demographic, insurance, and financial information to ensure accurate...


  • Pittsburgh, Pennsylvania, United States CVS Health Full time

    Pharmacy Billing Representative Job SummaryCVS Health is seeking a highly skilled Pharmacy Billing Representative to join our team. As a Pharmacy Billing Representative, you will play a critical role in ensuring timely and accurate billing for unbilled claims and account payment for outstanding balances. You will work closely with patients, healthcare...


  • Pittsburgh, Pennsylvania, United States Tibbott & Richardson Full time

    Job OverviewLegal Billing Specialist (In Office)We are seeking an experienced Billing Specialist to join our dynamic team at Tibbott & Richardson. This role is ideal for a professional who is proficient in legal billing and enjoys working collaboratively within a law firm environment.Key Responsibilities:Accurately maintain billing information within the CRM...


  • Pittsburgh, Pennsylvania, United States Czarnowski Full time

    About the RoleCzarnowski Collective is seeking a highly skilled Financial Services Specialist to join our team in Pittsburgh, Pennsylvania. As a critical component of our operations, you will work closely with internal stakeholders to ensure accurate billing and project reconciliation.Key ResponsibilitiesComplete Billing Process: Meet billing due dates and...


  • Pittsburgh, Pennsylvania, United States CVS Health Full time

    Pharmacy Billing Representative Job SummaryCVS Health is seeking a highly skilled Pharmacy Billing Representative to join our team in the Monroeville area. As a key member of our Revenue Cycle team, you will be responsible for ensuring timely and accurate billing for unbilled claims and account payment for outstanding balances. This role requires excellent...


  • Pittsburgh, Pennsylvania, United States Czarnowski Full time

    About the RoleCzarnowski Collective is seeking a highly skilled Financial Services Specialist to join our team in Pittsburgh, Pennsylvania. As a critical component of our finance team, you will be responsible for ensuring accurate billing and project reconciliation, working closely with internal stakeholders to resolve any open issues.Key...


  • Pittsburgh, Pennsylvania, United States Tech24 Full time

    Billing Specialist Job DescriptionAt Tech-24, we are seeking a highly skilled Billing Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring the accuracy and efficiency of our billing processes.Key Responsibilities:Process a high volume of service calls into invoices for payment per agreed upon rates and...


  • Pittsburgh, Pennsylvania, United States CorVel Healthcare Corporation Full time

    Career Opportunity in Medical BillingWe are seeking a dedicated professional to take on the responsibility of reviewing, auditing, and processing medical invoices across various states and business lines.Core Responsibilities:Examine medical invoices to ensure adherence to State Fee Schedules, client guidelines, and PPO discounts.Apply knowledge of Fee...


  • Pittsburgh, Pennsylvania, United States Oxford Solutions, Inc Full time

    Job SummaryOxford Solutions, Inc. is seeking a seasoned Medical Billing and AR Manager to lead our Funded Billing and Cash Posting teams. As a key member of our organization, you will be responsible for managing billing claims, overseeing cash receipts and denial postings, and ensuring efficient operations and compliance with regulatory and payer...


  • Pittsburgh, Pennsylvania, United States AppleOne Full time

    Job OverviewPosition: Billing Coordinator for Legal ServicesLocation: Remote / Hybrid Work OptionCompany Overview:AppleOne is a prominent workforce management firm committed to delivering exceptional human resource solutions. We pride ourselves on our dedication to excellence and our ability to connect talented individuals with leading organizations.We are...


  • Pittsburgh, Pennsylvania, United States CorVel Healthcare Corporation Full time

    Exciting Career OpportunityWe are seeking a dedicated professional to take on the role of reviewing, auditing, and processing medical bills across various states and lines of business.Primary Responsibilities:Conduct audits of medical bills to ensure adherence to State Fee Schedules, client guidelines, and PPO discounts.Leverage knowledge of Fee Schedules...