Pharmacy Billing Specialist
4 days ago
We are seeking a detail-oriented Pharmacy Billing Specialist to join our team at LA Business Management Services, LLC. The ideal candidate will have a background in pharmacy billing and payment posting and reconciliation.
Key Responsibilities:- Third-party insurance claim billing associated with dispensing medication and using the required bill method.
- Transmit or submit claims to payors for reimbursement and reconciliations.
- Resolve insurance problems and patient issues resulting from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
- Review payments received via check and research ability to convert to EFT.
- Follow processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance, and documentation, as well as customer service and issue resolution.
- Research and respond to payors regarding billing issues or recovery payments that are outstanding.
- Assist in responding to audits from insurance companies.
- Identify possible low payments based on trends and history.
- Previous experience in Pharmacy billing, specifically in payment posting, reconciliation, or related roles.
- Experience using Microsoft Office products, specifically Excel, Outlook, and Word.
- Insurance billing or collections experience.
- Customer service in a healthcare environment.
- Experience working in a healthcare reimbursement system.
- Effective customer service skills and experience that shows ability to work in a team environment.
- Attention to detail.
- Ability to utilize analytical skills.
- Ability to communicate with clientele in a professional manner; both verbally and written.
- Strong attention to detail and accuracy in financial data entry.
- Must be familiar with Insurance Bins and Pcn insurance Billing.
- Must possess the ability to communicate with people at all levels of the organization and external agencies.
- Must be very savvy with Microsoft products and capable of learning new software.
- Must be able to create reports summarizing information using tables, charts, and/or graphs.
- Must be open, agreeable, and professional when gathering and referring information to the appropriate member of the team.
- Must have the ability to work alone but also in a team, with fellow staff, in the business setting. Must possess good time management skills.
Full-time
Expected Hours:40 per week
Schedule:Benefits:
- Health insurance
- Paid time off
Office
Education and Experience Requirements:- High School Diploma or Graduation Equivalent Diploma (G.E.D)
- Prior experience in a pharmacy or healthcare company.
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