Billing Specialist

CSI Companies

3d•$25 - $30•Remote

About The Position

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary Under the general supervision of Management, the Billing Specialist is responsible for assisting the billing team in ensuring accurate billing, timely submission of electronic and/or paper claims, solving for unique billing requirements, resolving claims due to billing requirements, and documenting related account activities. Ensure that all billing is done promptly and meets month-end expectations. Pay Range: $25/hr - $30/hr (DOE) Schedule: (Remote) Monday - Friday, 8:30am - 5:00pm in your respective time zone Travel: 3xs/year to Plano, TX for various team gatherings, trainings, meetings, etc.

Requirements

Provide the highest level of professionalism, responsiveness, and communication.
Must possess the ability to multi-task and frequently change direction.
Proficient in the use of a computer and other devices.
High school diploma or GED
Ability to work independently and within a multidisciplinary team.
Basic math, bookkeeping, and accounting skills
1-3 years of experience in medical billing.
Understanding of industry-specific policies, such as HIPAA regulations for healthcare

Responsibilities

Perform pre-bill review to ensure that authorization is documented where necessary.
Ensure that coding on claims follows payer guidance.
Ensure accurate billed and expected charges do not exceed usual and customary or contractual pricing where indicated.
Create and submit primary and secondary pharmacy and medical claims promptly.
Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules.
Communicate any billing-related issues to all appropriate departments.
Ensure coding to the highest level of specificity and for maximum reimbursement by third-party payers.
Maintain current knowledge of departmental and organizational policies.
Support billing staff in training and ongoing education when required
Consistently professionally represents the company.
Maintains effective working relationships and cooperates with all personnel in the Company.
Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
Performs other duties and responsibilities as assigned