Billing Specialist

Monroeville, PA 15146

Post Date: 01/31/2018 Job ID: 25753 Category: Professional

Job Description:
  • Primary responsibility is to ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.
  • Responsible for all third party billing and follow-up associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding account balances.
  • Maintains patient demographic information and data collection systems.
  • Work all billing/collection reports, queues, or diversions according to payer and company policy guidelines.
  • Researches and responds by telephone, via the Internet and in writing to insurance companies and governmental payers regarding billing issues and problems.
  • Follows up on submitted claims; monitors unpaid claims, initiates appeals and resubmits claims as necessary.
  • Transmit or submit claims (paper, 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.
  • Provide detailed follow up with patients and payers in the form of, but not limited to phone calls, fax transmittals and e-mails.
  • Contact patients and Physician s offices as needed in order to expedite claims processing.
  • Obtain accurate demographic, insurance and financial information from patients to ensure all account information is accurate.

Qualifications:
  • Verifiable High School diploma or GED is required.
  • Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work.
  • Minimum 1 year experience working with healthcare reimbursement systems.
  • Ability to prioritize daily tasks.
  • Working knowledge of medical terminology.
  • Customer service skills with the ability to work in a team environment.
  • Experience in MS Word, Excel and Outlook.
  • Entry level position; 0-2 years of pharmacy billing experience.
  • Strong communication, interpersonal, and prioritization skills.
  • Must be highly organized and detail-oriented.
  • Ability to work in a fast paced, rapidly changing environment.
  • Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.

For more information, please contact our office at 877-782-3334.

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