Pharmacy Billing Specialist

SelectQuote, Inc. • Monaca, PA

5d • Hybrid

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.
This is a hybrid position.
Supervisory Responsibilities:
This position has no direct supervisory responsibilities.

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 or NHA) license required for all new hires.
• Must be a fully licensed technician in the States of Indiana and Pennsylvania or willing to earn license upon 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed