Pharmacy Billing Specialist

About the role

The Pharmacy Billing Specialist is responsible for collecting posting and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies.

Essential Duties And Responsibilities

• Preparing and submitting clean claims to various insurance companies either electronically or by paper
• Answering questions from patients, clerical staff, and insurance companies
• Identifying and resolving patient billing complaints
• Preparing, reviewing, and sending patient statements
• Evaluating patient’s financial status and establishing budget payment plans; following and reporting the status of delinquent accounts
• Preparing information for the collection agency
• Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
• Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations

Skills/Abilities

• Detail-oriented and accurate
• Ability to operate a computer, computer software, and basic office equipment
• Ability to operate a multi-line telephone system
• Skilled in answering a telephone in a pleasant and helpful manner
• Ability to read, understand, and follow oral and written instructions
• Ability to establish and maintain effective working relationships with patients, associates, and the public
• Proficiency in reading, writing, and speaking English in required

Education And Experience

• 1 year of medical billing and collections practice experience preferred
• Knowledge of basic medical coding and third-party operating procedures and practices preferred
• Knowledge of business office procedures

Certificates/Licenses/Registration

• Pharmacy Technician Certification required (PTCB or NHA)
• Indiana and Pennsylvania State Pharmacy Technician license required, or willing to obtain before start date.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer

Compensation

The Compensation for this position is listed below. Local minimum wage laws apply. This information is posted pursuant to local requirements to provide applicants with information about what they might be eligible to receive. Individual pay decisions will depend on job-related factors such as experience, education, skill, performance, and geographic location where work will be performed. Successful candidates may be able to participate in one or more incentive compensation or short-term incentive plans, which could generate additional earnings in accordance with the terms of each plan.

Benefits

• Competitive Medical, Dental, and Vision Insurance
• HSA/FSA
• Voluntary Hospital Indemnity, Critical Illness, Accident Insurance, and Short Term Disability
• Voluntary Life Insurance for Self, Spouse and Dependent
• Company-paid Basic Life Insurance and Long Term Disability
• Retail plan and Employer match contribution with Profit Share
• Tuition Reimbursement program
• Company perks and Discount program
• Engaging Wellness and Financial Education Resources
• Employee Assistance Program
• Incentive Plans

Base Hourly Minimum

$18.00

Base Hourly Maximum

$21.00