SpecialtyRx is a full-service pharmacy. We need Remote Billing Representative with Third Party Rejections experience in our Ridgefield Park, NJ location.
Must have experience with LTC Pharmacy Third Party Billing Rejections.
Hours we are Flexible:
- 8am - 4pm.
- 9am - 5pm.
- 11am - 7pm.
- 12pm - 8pm.
- 3pm - 11pm.
- 4pm - 12am.
Must be able to train for 3 weeks onsite.
Billing Representative Responsibilities:
- Perform duties assigned by the Billing Supervisor.
- Research and establish patient eligibility coverage with insurance providers (state and private).
- Determine and process insurance rejections by the daily report.
- Maintain and update patient billing and insurance information in the system.
- Submit prior authorizations for State insurance.
- Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
- Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
- Follow up and resolved pending billing issues.
Billing Pharmacy Representative Requirements:
- H.S. diploma or equivalent.
- Courteous and polite phone skills.
- Computer literate.
- Ability to work nights and weekends.
- Previous experience in Retail pharmacy is a must.
- Previous experience in Third Party Rejections Billing is a must.
- Experience in Long Term Care Pharmacy. (Preferred).
- Must be able to work independently and as a team.
- The ability to multitask and work in a fast-paced environment is a must.
- Experience in New York Pharmacy billing claims. (Preferred).
- Frameworks/ECM knowledge is a plus.
- Must be detail-oriented.
EEO Statement:
Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.
EO/Minorities/Females/Disabled/Veterans