Pharmacy Billing Specialist
About the role
Our Pharmacy Billing Specialists start the process and simply put, submit claims for payment. You will be responsible for ensuring the accurate and timely processing and billing of pharmacy benefit claims. This will include all the major Pharmacy Benefit Management (PBM) companies for acute and chronic therapies to include IVIg, TPN’s and antibiotics.
Essential Duties & Responsibilities
- Ensures accuracy and appropriateness of claim type, diagnosis codes, place of service, procedure codes, HCPC or NDC units for drugs, per diem, proper use of modifiers, and dates of service
- Certifies the accuracy and completeness of PBM requirements prior to timely submission of clean claims
- Manages Billing Que status code to track unbilled delivery ticket(s) and maintains Reimbursement Pending Item Report
Requirements
- High school diploma or equivalent
- Knowledge of HCPC, ICD-10 and CPT codes
- 2+ years of pharmacy billing experience
Qualifications
Competitive Compensation
Benefits start on your 1st day of employment.
401k w 4% match – no waiting or vesting period
PTO / Floating Holidays / Paid Holidays
Company paid life insurance and short-term disability
Employee Assistance programs to help with mental health / wellness
Learning & Development Programs
Perks… includes discounts on travel, cell phone, clothing and more…
Generous employee referral program
Skills
N/A
Benefits
N/A
Pay
N/A
Schedule
N/A
To learn more about KabaFusion, please visit our careers page: here.