Pharmacy Billing Specialist
About The Position
WRS is a medical device company headquartered in Ann Arbor, MI. We offer world class multi-modal post-op pain management for orthopedic excellence. We focus on systems that improve patient recovery and practice management. We do all of this while combating the Opioid Epidemic. We are located in the heart of downtown Ann Arbor, MI and we are looking for a full-time Pharmacy Billing Specialist. Hybrid work is available; we prefer candidates based in Michigan. We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.
Requirements
- High School Diploma (or equivalent); college degree preferred
- 1-3 years’ experience in medical billing
- A positive approach to daily tasks and a strong work ethic
- Strong analytical skills, a solution-oriented approach, with excellent follow-up skills, strong time management, a sense of urgency, and the ability to shift gears frequently throughout the day
- Excellent verbal and written communication skills
- Strong typing skills
- Prefer experience with ICD-10 and HCPC coding
Nice To Haves
- Prefer experience with ICD-10 and HCPC coding
Responsibilities
- Prepare pharmaceutical bills and invoices, and document amounts due to medical procedures and services using correct billing codes
- Communicate with account managers about areas of concern with medications that are not processing appropriately
- Field inbound/outbound calls to/from insurance companies
- Investigate claim rejections
- Distribute and document information obtained via phone, fax, and email
- Verify patient information and perform data entry with a focus on accuracy
- Collect and review referrals and pre-authorizations by communicating with nurse case managers and adjusters via phone
- Investigate and appeal denied claims
- Audit records to ensure proper submission of services prior to submitting a claim to the payor
- Collaborate with the team to improve processes and efficiencies
- Ensure compliance with state and federal regulations
- Following up on EOBs
- Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Parental leave
- Vision insurance
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
