Specialty Billing Coordinator

3 days ago


San Francisco, California, United States Walgreens Full time
Job Summary

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.
Requirements
  • 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.
Preferred Qualifications
  • 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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