Specialty Billing Coordinator
3 days ago
We are seeking a highly skilled Specialty Billing Technician to join our team at Walgreens. As a key member of our billing team, you will be responsible for ensuring accurate and timely billing and collection of third-party and patient payments for products and services rendered.
Key Responsibilities- Submit timely and accurate invoices to payers for products and services provided.
- Determine quantities and prices for products and services billed, ensuring accuracy and compliance with regulations.
- Verify services and products are correctly authorized and required documentation is on file.
- Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
- Process reimbursement checks/payment in accordance with policy.
- Review and resolve third-party chargebacks in a timely manner.
- Assist with third-party audits, as needed.
- Process and file SDL (submit direct link) claims in accordance with company policy.
- Proactively identify copay assistance opportunities and communicate with patients and providers.
- Maintain subject matter expertise on external billing practices, including third-party adjudications, prior authorization, and patient financial assistance programs.
- High School Diploma or equivalent.
- Pharmacy Technician license, in states where required.
- Maintains PTCB or ExCPT certification through the designated PTCB or ExCPT training program and/or state required certification/registration.
- Experience communicating verbally and in writing to various audiences.
- Experience providing customer service to internal and external customers.
- Prefer six months of experience in a retail environment.
- Prefer prior work experience with Walgreens.
- Experience in processes related to submitting medical claims, including Medicare submission, EOB, remittance advice, and timely filing limits.
- Experience entering data into databases.
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Billing Coordinator
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