Pharmacy Billing Specialist: Claims & Denials
SpecialtyRx, Inc
SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: First and 2nd Shift Monday through Friday and rotating weekends. - NO REMOTE Please apply here Responsibilities Experience with billing rejections, review. Must research claims and denial codes. Must correctly resubmit claims to get them processed. Requirements H.S. diploma or equivalent. Computer literate. Previous experience in Retail pharmacy billing is a must. Experience in Long Term Care Pharmacy billing. (Preferred) Must be able to work independently and as a team. The ability to multitask and work in a fast-paced environment is a must. Experience in New York Pharmacy billing claims. (Preferred) Frameworks/ECM knowledge is a plus. Must be detail-oriented. EEO Statement Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law. EO/Minorities/Females/Disabled/Veterans #J-18808-Ljbffr SpecialtyRx, Inc
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- ...candidate to manage the processing of insurance claims, specifically focusing on Medicaid and... ...analytical skills, with experience in a healthcare billing environment. The responsibilities include monitoring claims, resolving denials, and ensuring accurate submissions while...Claims
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...Holy Name Medical Center in Hackensack, NJ, is seeking a Medical Billing Specialist to accurately prepare, submit, and follow up on claims. This entry-level position requires a High School Diploma and is responsible for maintaining compliance, documenting billing actions...ClaimsHourly pay- ...Insurance Claims Processor Responsible for accurately and efficiently processing insurance... ...payment. Identify and resolve claim denials, rejections, and delays. Follow up... ...claim payments. Review daily electronic billing reports, paper claim submissions, and third...Claims
- The City of Lincoln is looking for a full-time Billing Representative located in Ridgefield Park, NJ. Candidates should have pharmacy experience, especially in retail and long-term care. The role involves interacting with insurance companies, maintaining billing information...Full timeMonday to Friday
- ...building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist. Position Summary This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME...ClaimsRemote work
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...Job Description Join Our Team as an ABA Billing Specialist at Behavioral Health Works! About Us... ...role is responsible for ensuring accurate claims processing, timely collections, and... ...including claim submission, payment posting, denial management, and collections Monitor...ClaimsHourly payFull timeWork at office- ...detail-oriented and experienced Medical Billing Specialist with a strong background in medical... ...Accurately process and submit medical claims to insurance companies, government payers... ...resolve billing discrepancies or claim denials. Prepare and submit insurance appeals...ClaimsContract workRemote work
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A prominent healthcare provider in Yonkers is seeking an Offsite Billing Coordinator to manage various billing processes including verification of insurance, accurate charge entries, and payment postings. The ideal candidate will have an Associate’s Degree or equivalent...ClaimsHourly pay- ...detail-oriented and motivated Insurance Specialist in Hackensack, NJ, to ensure patients receive... ...necessary care by supporting accurate billing and timely payments. In this temporary... ...delinquent accounts, reviewing claims, and resolving billing issues. Candidates...ClaimsTemporary workPart time
- ...Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not... ...for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement... ...Review and correct claims to prevent denials Interpret payer contracts and reimbursement...ClaimsTemporary workWork at officeRemote workMonday to Friday
- RightWay ABA is looking for a detail-oriented Medical Billing Specialist to join their remote revenue cycle team. This role involves managing the full billing cycle, including claims processing and denial management with responsibilities that support timely reimbursement...ClaimsRemote job
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...Walgreens in Newark, New Jersey is seeking a Pharmacy Technician responsible for accurate billing and collection of payments for products and services. You will manage invoicing and ensure compliance with documentation requirements. The ideal candidate will have a high...Hourly pay- ...Inc. is looking for a detail-oriented Insurance Specialist to assist patients in receiving care through accurate billing and timely payments. This part-time temporary... ...requires strong knowledge of medical coding and claims processing, along with a high school diploma and...ClaimsTemporary workPart time
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...Job Summary: The AR Follow-Up Specialist III, Coding and Complex Denials is responsible for addressing and resolving... ...to successfully appeal denied claims and ensure compliance with payer... ...corrections are properly documented and billed. Address issues related to third...ClaimsRemote jobHourly payFull timeWork at officeLocal area- ...healthcare at Hudson Regional Hospital. Medical Billing Clerk Responsibilities and Duties Prepare... ...workers compensation and motor vehicle claims and all other third party payers. Perform... ..., payer trends in claims processing, denials or payment fluctuations, to ensure proper...Claims
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...Pay $19.00 - $21.00 / Hour Job Category #billing, #billingrep, #pharmacytechnician Employee... ...SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy... ...Experience in New York Pharmacy billing claims. (Preferred) Frameworks/ECM knowledge is...ClaimsFull timeLocal areaMonday to FridayNight shift$22 - $25 per hour
...Job Description Medical Billing Specialist - Commercial Insurance Location: Fair Lawn, NJ... ...posting, accounts receivable follow-up, denial management, appeals, and EOB review.... ...resolve denied, rejected, and underpaid claims Analyze Explanation of Benefits (EOBs...ClaimsHourly payLocal areaMonday to Friday$42.5k - $55k
...Medical Billing Assistant The Medical Billing Assistant supports the day-to-day billing and... ...Division. This position assists with claims management, insurance verification, provider... ...submission, tracking, and follow-up. Assist with denial management and resolution of billing...ClaimsFull timeWork at office- The Offsite Billing Coordinator is responsible for multiple components of the billing process... ...accurate and timely payment of claims and collection. Responsibilities Verifies... ...May run and work missing charges, edits, denials list and process appeals. Posts denials in...ClaimsHourly payFull timeTraineeshipWork at office
- ...Offsite Billing Coordinator The Offsite Billing Coordinator is responsible for multiple... ...facilitate accurate and timely payment of claims and collection. Responsibilities... ...May run and work missing charges, edits, denials list and process appeals. Posts denials in...ClaimsFull timeTraineeshipWork at officeLocal areaShift work
$20 - $28.98 per hour
Mount Sinai Morningside is hiring an Offsite Billing Coordinator responsible for essential billing processes including Accounts Receivable... ...diploma with at least 2 years of relevant medical billing or claims experience, specifically with IDX systems and familiarity with...ClaimsHourly pay$23.56 - $28.85 per hour
...Accounts Receivable Specialist I The 61st Street Service Corporation... ...include inquiring about unpaid claims, appealing denied claims with... ...Responsibilities: Research root issue of denial. Pursue proper course of... ...updates on account and bill new insurance as appropriate....ClaimsRemote jobHourly payFull timeWork at officeLocal area- ...seeking a detail-oriented Medical Biller to join our team. This full-time role entails managing billing processes, primarily contacting insurance companies and following up on claims to achieve timely resolutions. Knowledge of out-of-network billing is a plus, with training...ClaimsFull time
- Valley Health System (New Jersey) is seeking a motivated individual to review billing information and ensure prompt Medicare reimbursements. Candidates must have a high school diploma and preferred experience in electronic billing. Excellent organizational and communication...Claims
$21 - $28 per hour
...Job Description Job Description Medical Billing Specialist (Remote) Pay: $21–$28 per hour (DOE) About RightWay ABA RightWay... ...Medical Billing Specialist to take ownership of weekly claims processing, denial management, and accounts receivable follow-up in a fully...ClaimsHourly payWeekly payFull timeRemote workFlexible hours
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