Billing Specialist

Monroeville, PA

Post Date: 05/18/2017 Job ID: 21937 Category: Professional

Choice of shift (not rotating):
  • 7: 00am-3: 30pm
  • 7: 30am-4: 00pm
  • 8: 00am-4: 30pm
  • 8: 30am-5: 00pm

Position Summary:
  • Billing and Reimbursement Representative to handle medical billing and insurance follow up.
  • The Billing and Reimbursement Representative will ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

Key Responsibilities
  • Third party billing and follow-up associated with the dispensing of prescription medication via telephone, Internet, and in writing.
  • Transmit or submit claims (paper or electronic) to insurance payers for reimbursement.
  • Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
  • Maintain supporting chronological notes that detail action taken to resolve outstanding account balances.
  • Maintain patient demographic information and data collection systems, including all billing/collection reports, queues, or diversions while remaining in accordance with payer and company policy guidelines.
  • Contact patients and Physician s offices as needed in order to expedite claims processing.

Required Qualifications:
  • One or more year(s) experience performing healthcare reimbursement, medical insurance/billing.
  • One or more year(s) experience in Microsoft Office Suite: Microsoft Word, Excel, and Outlook.

Preferred Qualifications:
  • One year of experience with Collections associated with Medicaid preferred.
  • Customer service in a healthcare environment and experience that shows ability to work in a team environment.
  • Experience working with a healthcare reimbursement system preferred.
  • Ability to communicate with clientele in a professional manner, both verbally and written.
  • Ability to take data/information and form strong analysis to be provided to leadership.
  • Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail.

A-Line Staffing Solutions



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