Pharmacy Billing Specialist

SelectQuote Insurance Services•Monaca, PA

48d

About The Position

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.

Requirements

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 relationship with patients associates and the public
Proficiency in reading writing and speaking English in required
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
Pharmacy Technician Certification (PTCB) license required for all new hires.
Must be a fully licensed technician in the State of Pennsylvania or willing to earn license upon employment.
Must be willing to obtain a non-resident license in the State of Indiana within 90 days of employment.

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
Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor
Prepares information for the collection agency
Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
Participating in educational activities and attending monthly staff meetings
Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations