Billing Specialist I

Client max bill rate ***
Supplier max bill rate ***

Prescreen questionnaire:
Location at the top of the resume
Work location may be hybrid with the potential to have some time at home based on performance and business need.
Any experience in the healthcare industry?
Any billing work experience? This is preferred.

*Must live within 1 hour of Monroeville, PA site. Work location may be hybrid with the potential to have some time at home based on performance and business need. This is a hybrid role, they must be ok with 2 days every other week in office and as needed, depends on business needs.

Role Overview
Schedule: Monday-Friday 8:00AM-4:30PM EST (Flex Start after training)
Work location may be hybrid with the potential to have some time at home based on performance and business need.
Training: 2-3 weeks of training

What you will do:
Third party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
Maintain patient demographic information in data collections systems.
Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
Research and respond by telephone, via the internet, and in writing to patients, physician's offices, insurance companies, and governmental payers regarding billing issues and problems as well to expedite claims processing.

Required Qualifications
1+ year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
Must have good computer skills. Experience in MS Office, specifically TEAMS, Excel, Outlook, and Word.
Effective customer service skills and experience that shows ability to work in a team environment.
Ability to communicate with clientele in a professional manner; both verbally and written.
Must live within a 1 hour commute to the Monroeville, PA office.

Preferred Qualifications
Billing/Collections experience.
Customer service in healthcare environment.
Experience working with a healthcare reimbursement system.
Attention to detail.
Ability to utilize analytical skills.

Position Summary:

Billing/Collections experience.
Customer service in healthcare environment.
Experience working with a healthcare reimbursement system.
Ability to communicate with clientele in a professional manner; both verbally and written.
Attention to detail.
Ability to utilize analytical skills.
Effective customer service skills and experience that shows ability to work in a team environment.
Experience in MS Office, specifically Excel, Outlook, and Word.

Duties:

What you will do
Third party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
Maintain patient demographic information in data collections systems.
Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
Research and respond by telephone, via the internet, and in writing to patients, physician's offices, insurance companies, and governmental payers regarding billing issues and problems as well to expedite claims processing.

Experience:

Required Qualifications
1+ year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
Must live within a 1 hour commute to the Monroeville, PA office.
Preferred Qualifications
Billing/Collections experience.
Customer service in healthcare environment.
Experience working with a healthcare reimbursement system.
Ability to communicate with clientele in a professional manner; both verbally and written.
Attention to detail.
Ability to utilize analytical skills.
Effective customer service skills and experience that shows ability to work in a team environment.
Experience in MS Office, specifically Excel, Outlook, and Word.

Education:

Verifiable High School diploma or GED is required.