As a Pharmacy Biller, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. As part of the billing you will work in a fast-paced and team focused environment to ensure timely and accurate billing to insurance providers.
Essential Duties and Responsibilities:
- General clerical duties, faxing, emailing, answering phones
- Maintain documents, filing records and bills
- Submit prior authorizations and proper paper work to 3rdparty insurance
- Daily batch billing
- Reconciliation of various accounts and invoices
- Handle all aspects of billing and billing issues
- Ensure accurate and timely completion for all month-end billing; month end billing is a mandatory responsibility
- Other duties as assigned
- High school or equivalent
- Pharmacy billing: 2 years
- Familiarity with medical terminology
- Knowledge of proper billing/CMS guidelines
- Strong knowledge of insurance
- Good understanding of ICD10 coding
- Familiarity with pharmacy coding
- Pharmacy claim adjudication
- Prior Authorization process (submission and appeals)
- Coverage gap knowledge
- Familiarity with MS Word, Excel, Outlook, EMR
Skills Required
- High school or equivalent
- 2 years of pharmacy billing experience
- Familiarity with medical terminology
- Knowledge of proper billing/CMS guidelines
- Strong knowledge of insurance
- Good understanding of ICD10 coding
- Familiarity with pharmacy coding
- Pharmacy claim adjudication experience
- Prior Authorization process (submission and appeals) knowledge
- Coverage gap knowledge
- Familiarity with MS Word, Excel, Outlook, EMR
What We Do
Operator of a health and wellness center intended for cosmetic and wellness treatments. The company offers weight loss management, hormone replacement therapy, IV infusion, vitamin infusions, allergy assessments, vitamins and supplements, thereby enabling its clients to take charge of their own health.
