Billing Specialist I

Client max bill rate ***
Supplier max bill rate ***
Safety sensitive

Add city / state at the top of the resume. They must be within 1 hour from the Monroeville location.

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, pharmacy insurance/billing or related work.* 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.

Position Summary:

Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.

Duties:

* 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.

Experience:

Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) 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.

Education:

Verifiable High School diploma or GED is required.