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Billing Specialist

2 months ago

Irving, Texas, United States CHRISTUS Health Full time

Position Overview: The Billing Specialist plays a crucial role in the operations of CHRISTUS Health by ensuring efficient management of pharmacy services. This position is designed for individuals who are dedicated to providing exceptional service and support to patients and healthcare providers.

Key Responsibilities:

  • Conduct data entry and verify patient benefit eligibility.
  • Serve as a communication bridge between patients and insurance providers, facilitating interactions with healthcare professionals and administrative teams.
  • Address patient inquiries regarding billing processes, service offerings, and policies.
  • Manage incoming and outgoing communications related to medication delivery and associated services.
  • Coordinate financial arrangements and collect necessary co-payments.
  • Adhere strictly to established policies and procedures.
  • Ensure the provision of safe and effective medication therapies in accordance with established guidelines.
  • Accurately interpret and extract information from patient medical records.
  • Engage in quality improvement initiatives within the department.
  • Contribute positively to the operational efficiency of the department.
  • Maintain attendance and punctuality in line with policy standards.
  • Deliver courteous and timely service to patients, visitors, and staff.
  • Collaborate effectively with hospital and pharmacy personnel, demonstrating sound professional judgment.
  • Comply with all safety, security, and risk management protocols.
  • Follow departmental policies and procedures while working independently with minimal supervision.
  • Answer phone calls professionally, identifying oneself and the department.

Qualifications:

  • A minimum of 2 years of experience in a community pharmacy or health plan setting.
  • Experience in third-party billing and benefits investigation is essential.
  • Specialty pharmacy experience is preferred.
  • Familiarity with QS1 billing software, EPIC EMR, and CoverMyMeds is advantageous.
  • Must be a registered pharmacy technician in the state of practice.
  • Certification as a pharmacy technician is preferred.

This position is full-time and offers an opportunity to contribute to the quality of pharmacy services at CHRISTUS Health.