Duties:
Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer.
Transmit or submit claims (paper/electronic) to insurance payors for reimbursement.
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
Maintaining supporting and chronological notes that detail action taken to resolve billing edits.
Maintain patient demographic and insurance information and data collections systems, including all.
Complete billing reports, queues, or diversions according to payer and company policy guidelines
Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing.
Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims.
Experience: Required Qualifications:
1%2B years of Healthcare Insurance related experience.
Experience using Microsoft Office products specifically Excel, Outlook, and Word.
Must be able to commute to the Monroeville, PA office.
Preferred Qualifications:
Insurance billing or collections experience.
Customer service in a healthcare environment.
Experience working in a healthcare reimbursement system.
Effective customer service skills and experience that shows ability to work in a team environment.
Attention to detail.
Ability to utilize analytical skills.
Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail.
Ability to communicate with clientele in a professional manner; both verbally and written.
Position Summary:
Health Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full time Pharmacy Billing Coordinator. As a Pharmacy Billing Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers.
We will support you by offering all the tools and resources you need to be successful in a collaborative team based environment.
Located in the Monroeville facility, this opportunity also provides free parking.
Education:
Verifiable High School diploma or GED is required.
What days & hours will the person work in this position List training hours, if different.
M-F 8a-4:30p
Safety Sensitive:
Must live within 1 hour of Monroeville site, required to come in the office Tuesdays and Thursdays (every other week) for a total of approximately four times a month, but willing to come onsite for business needs if that changes.
Billing Specialist will be responsible for ensuring the timely submission of pharmacy benefit claims. In order to achieve this, the Billing Specialist will be responsible in communicating with varies different payers and insurance processors to resolve accounts receivable claims for reimbursement.
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.
Must live within 1 hour of Monroeville site, Required to come in the office Tuesdays and Thursdays (every other week) for a total of 4x a month, but willing to come onsite for business needs if that changes.