Specialty Billing Coordinator
4 days ago
Job Summary:
The Specialty Billing Technician will be responsible for the accurate billing and collection of third party and patient payments for products and services rendered. This role requires strong communication and organizational skills, as well as the ability to work in a fast-paced environment.
Key Responsibilities:
- Submit timely and accurate invoices to payers for products and services provided.
- Determine quantities and prices for products and services billed.
- Verify services and products are correctly authorized and required documentation is on file.
- Ensure all Medicare documentation is received from the medical provider and submitted to Danville.
- Review reports to maximize generic substitution opportunities.
- Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
- Ensure all required documentation for billing is completed and accurate prior to claim submission.
- Process reimbursement checks/payment in accordance with policy.
- Review price modify logs and ensure there are corresponding SDL claims.
- Review, research and resolve all third party chargebacks in a timely manner.
- Assist with any third party audits, in accordance with company policy.
- Process and file all SDL claims in accordance with company policy.
Additional Responsibilities:
- Process prescription exceptions, including prior authorizations and referrals.
- Proactively identify copay assistance opportunities.
- Communicate with patients and providers regarding referral/prescription status.
- Maintain a deep understanding of and assist patients with assistance programs enrollment.
- Handle telephone calls that do not require personal attention of the pharmacist.
- Maintain subject matter expertise pertaining to external billing practices.
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 to have prior work experience with Walgreens.
- Experience in processes related to submitting medical claims.
- Experience entering data into databases.
Equal Opportunity Employer:
Walgreens is an Equal Opportunity Employer, including disability/veterans.
Actual Compensation:
The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors.
-
Billing Coordinator
4 days ago
Louisville, Kentucky, United States Nazareth Home Full timeNazareth Home is a leading provider of long-term care and recovery services, seeking a skilled Billing Coordinator to join our team at our Highlands campus.About Nazareth HomeFounded by the Sisters of Charity of Nazareth, Nazareth Home is a nonprofit organization dedicated to delivering person-centered health and wellness services for aging adults. Our...
-
Pharmacy Billing Coordinator II
4 days ago
Louisville, Kentucky, United States PharMerica Full timeJob SummaryWe are seeking a skilled Pharmacy Billing Coordinator II to join our team at PharMerica. In this role, you will be responsible for the accurate and timely adjudication of all prescriptions, as well as the maintenance of the pharmacy unbilled and performing other clerical duties as assigned.ResponsibilitiesEnsure the accuracy and timely...
-
Specialty Pharmacy Care Coordinator
2 weeks ago
Louisville, Kentucky, United States Baptist Health Full timeJob Title: Specialty Pharmacy Care CoordinatorJob Summary:Baptist Health is seeking a highly skilled Specialty Pharmacy Care Coordinator to support patient access to high-touch, complex medication therapies. As an extension of the ambulatory clinic team, this role will facilitate seamless communication between departments and ensure accurate documentation in...
-
Billing Coordinator
4 weeks ago
Louisville, Kentucky, United States ProLift Toyota Material Handling Full timeJob OverviewProLift Toyota Material Handling is a leading material handling supply chain and logistics partner that focuses on customer satisfaction and continuous improvement.We are a passionate and inclusive group of people working together to foster innovation for our customers, community, and each other.Our company strives to achieve indispensable...
-
Electronic Billing Specialist
4 days ago
Louisville, Kentucky, United States Stites & Harbison, PLLC Full timeStites & Harbison, PLLC, a full-service law firm, is seeking a highly qualified Electronic Billing Specialist to join its Client Billing team in Louisville, Kentucky. The successful candidate will be responsible for handling the firm's ebilling operations, working closely with Accounting & Finance staff, especially Billing Coordinators, the Billing &...
-
Pharmacy Billing Specialist
4 days ago
Louisville, Kentucky, United States PharMerica Full timeJob Summary:We are seeking a skilled Pharmacy Billing Specialist to join our team at PharMerica. As a key member of our billing team, you will be responsible for the accurate and timely adjudication of all prescriptions, onsite training of new hires as needed, and the maintenance of the pharmacy unbilled.Key Responsibilities:Ensure the accuracy and timely...
-
Pharmacy Billing Specialist
3 days ago
Louisville, Kentucky, United States Southern Home Care Services, Inc. Full timeJob Title: Pharmacy Billing CoordinatorAbout the Role:We are seeking a highly skilled Pharmacy Billing Coordinator to join our team at Southern Home Care Services, Inc. This is a unique opportunity to work in a dynamic and growing organization, providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals,...
-
Logistics Coordinator
2 weeks ago
Louisville, Kentucky, United States Ultra Pure LLC Full timeJob Summary:The Customer Service and Logistics Coordinator will be responsible for managing order fulfillment, arranging freight, preparing shipping documentation, and maintaining strong communication with customers and vendors.Key Responsibilities:Handle daily order processing and ensure timely fulfillment.Prepare shipping documents, including Bill of...
-
Pharmacy Care Coordinator Specialist
1 week ago
Louisville, Kentucky, United States Baptist Health Full timeJob Summary:Baptist Health is seeking a skilled Pharmacy Care Coordinator to support our Rheumatology team. The ideal candidate will have experience with third-party billing, financial counseling, and medical terminology and coding. Key Responsibilities: Conduct benefit investigations to verify patient eligibility for prescribed specialty medications. Assess...
-
Marketing Coordinator
3 weeks ago
Louisville, Kentucky, United States HomeServices of Kentucky Full timeJob Title: Marketing CoordinatorJoin HomeServices of Kentucky as a Marketing Coordinator and play a key role in supporting our marketing efforts. As a Marketing Coordinator, you will be responsible for coordinating and administering specific marketing services and programs designed to support lead generation, listings, and other sales activities.Key...
-
Group Reservations Coordinator
4 days ago
Louisville, Kentucky, United States AJS Hotels Full timeJob SummaryWe are seeking a highly organized and detail-oriented Group Reservations Coordinator to join our team at AJS Hotels. In this role, you will be responsible for providing exceptional service to meeting planners and area event service managers by serving as the primary point of contact for group reservations.Key Responsibilities:Maintain positive...
-
Materials Coordinator
2 weeks ago
Louisville, Kentucky, United States Qualified Staffing Full timeJob Title: Materials CoordinatorQualified Staffing is seeking an experienced Materials Coordinator to join our client's team in Louisville, KY. As a key member of the logistics team, you will be responsible for managing the flow of materials, supplies, and equipment within the facility.Key Responsibilities:Receive, review, and process requests for materials,...
-
Pharmacist - Specialty Pharmacy
2 weeks ago
Louisville, Kentucky, United States Knipper HEALTH Full timeOverviewKnipper HEALTH is seeking two full-time Pharmacists to join our team at our Louisville location. As a Pharmacist with our company, you will have the opportunity to work in a dynamic and fast-paced environment, providing comprehensive and accurate medication screening and dispensing services to our patients.ResponsibilitiesConduct patient intake...
-
Pharmacy Care Coordinator Specialist
2 weeks ago
Louisville, Kentucky, United States Baptist Health Full timeJob Title: Pharmacy Care CoordinatorJob Summary:Baptist Health is seeking a highly skilled Pharmacy Care Coordinator to join our Endocrinology team. The successful candidate will be responsible for ensuring seamless patient care by coordinating with physicians, pharmacists, and other healthcare professionals.Key Responsibilities:Verify patient eligibility...
-
DME Coordinator
3 weeks ago
Louisville, Kentucky, United States Ellis and Badenhausen Ortho Full timeJob Title: DME CoordinatorWe are seeking a highly skilled and detail-oriented DME Coordinator to join our team at Ellis & Badenhausen Orthopaedics, PSC. As a DME Coordinator, you will play a critical role in ensuring the efficient and effective management of medical devices and equipment.Key Responsibilities:Maintain accurate and up-to-date inventory levels...
-
Insurance Eligibility Coordinator
3 days ago
Louisville, Kentucky, United States Randstad Full timeJob Title: Insurance Eligibility CoordinatorJob Summary: We are seeking an experienced Insurance Eligibility Coordinator to join our team at Randstad. As an Insurance Eligibility Coordinator, you will be responsible for responding to inquiries regarding eligibility, benefits, claims status, provider status, membership, and billing from various...
-
Care Coordinator
2 weeks ago
Louisville, Kentucky, United States BrightStar Care of Louisville Full timeAbout the RoleWe are seeking a highly skilled and organized Care Coordinator to join our team at BrightStar Care of Louisville. As a key member of our core team, you will play a vital role in connecting our caregiving and nursing workforce with the needs of our clients and enhancing the smooth operations of our facilities.This is a full-time position that...
-
Front Desk Coordinator
2 weeks ago
Louisville, Kentucky, United States Norton Healthcare Full timeJob SummaryThe Front Desk Coordinator serves as the liaison between the physician and patient at Norton Healthcare. This role is responsible for answering the telephone, determining the nature of patient calls and incoming calls, scheduling appointments, routing calls, taking appropriate messages, pulling charts for messages, greeting patients and family...
-
Eligibility Coordinator
2 weeks ago
Louisville, Kentucky, United States Medasource Full timeJob Summary:We are seeking a highly skilled Eligibility Coordinator to join our team at Medasource. As an Eligibility Coordinator, you will play a critical role in improving patient experience and revenue cycle performance by verifying coverage and benefits prior to ambulatory clinic visits.Key Responsibilities:Collect and verify patient and insurance...
-
Logistics Coordinator
1 week ago
Louisville, Kentucky, United States Vaco Full timeJob Summary:As a Logistics Coordinator at Vaco, you will be responsible for managing the shipping and receiving process, ensuring timely delivery of goods and materials to designated destinations. You will also maintain accurate inventory records, coordinate with procurement and warehouse teams, and prepare shipping documents. Additionally, you will provide...