Specialist Revenue Cycle Management - Remote
Walgreens•Orlando, FL
•Remote
About The Position
Responsible for performing transactional processes and transactions of basic complexity. Processes billing transactions and enters them into a computerized system, following established processes with a high degree of accuracy. Handles a larger volume of basic transactions and helps run basic reports using routine processes. May assist more senior specialists with complex transactions and work. Other responsibilities may be assigned as judgment or necessity dictates.
Requirements
- High school diploma from an accredited school or equivalent GED, or an equivalent combination of education and/or relevant work experience.
- Knowledge of collections processes.
- Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint.
- Strong attention to detail.
- Commitment to excellent customer service.
- Excellent written and verbal communication abilities.
- Ability to prioritize and manage multiple responsibilities.
Nice To Haves
- Knowledge of medical benefit versus pharmacy benefit billing.
- Knowledge of specialty drug reimbursement and HCPCS/J-code billing.
- Knowledge of NDC billing, units of service, modifiers, and drug-specific reimbursement guidelines.
- Knowledge of prior authorization and medical necessity requirements.
- Knowledge of commercial payer plans, BlueCard, Medicare, and other medical insurance programs.
- Experience with high-dollar claim resolution, underpayments, recoupments, and complex denials.
Responsibilities
- Process billing transactions and enter them into a computerized system.
- Follow established processes and perform transactions accurately.
- Handle a larger volume of basic transactions.
- Help run basic reports following routine processes.
- Assist more senior specialists with complex transactions and work when needed.
- Perform other responsibilities as judgment or necessity dictates.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
