Pharmacy Billing Specialist
7 days ago
The Pharmacy Billing Office Specialist position is responsible for preparing, verifying, correcting, and submitting electronic insurance claims. The ideal candidate will have prior pharmacy billing experience and be proficient in math and language usage.
Key Responsibilities:- Ensures patients are registered in the Pharmacy patient accounting system and billed with the appropriate payor type.
- Reviews claims for accuracy, performs required edits, submits claims, and rebills to payors daily in electronic format.
- Requests additional information from patients, insurance carriers, Pharmacy staff, and other Cantex departments to make corrections to claims.
- Makes appropriate corrections such as changing payor types, updating payor information, and/or changing the priority of the payor accounts to ensure payments are posted accurately.
- Accumulates and provides data/documents for maintenance of accounts payable, accounts receivable, and payroll ledgers.
- Prepares and delivers bank deposits.
- Compiles data and provides cumulative reports on a daily, weekly, or monthly basis as required by departmental Supervisor, Manager, and/or Director of Pharmacy.
- A high school diploma is required; a college degree or equivalent advanced courses in office management are preferred.
- Prior pharmacy billing experience to include two (2) years of payment posting, billing, and/or collections experience is required.
- Computer literacy is required.
- Proficiency in math and language usage is expected.
- Must be able to handle potentially stressful situations and multiple tasks simultaneously.
- Ability to read, write, and speak the English language is required.
- We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.
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