Pharmacy Billing Specialist
About The Position
The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH’s mission, vision, and values.
Requirements
- Associate's Degree Relevant Field
- Registered Pharmacy Technician
- Two (2) years of experience in healthcare, retail, pharmacy, or billing.
- Experience may be considered in lieu of degree.
Responsibilities
- verifying insurance eligibility
- facilitating prior authorizations
- collaborating with third-party payers and clinical offices
- works with patients and providers to ensure access to medications
- assists with denial appeals and financial assistance through funding sources
- auditing hospital pharmacy billing
- resolving claim rejections
- supporting medical bill audits
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
