Billing Specialist I

Job Description

Job Description

Prescreen questions:
City, State at top of resume
Do you have medical or pharmacy billing experience If yes, tell me about it.
How far are you from the Monroeville, PA office
Do you have MS Excel experience If so, how much experience and what are you comfortable doing in Excel
Hybrid - Work location may be hybrid with the potential to have some time at home based on performance and business need.

Location: Must be 1 hour from Monroeville PA
Do you have Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Do you have Minimum 1 year experience working with

Hybrid - Work location may be hybrid with the potential to have some time at home based on performance and business need.

The HL will be conducting interviews via TEAMS video conference.

Safety Sensitive

The Pharmacy Billing Representative will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.

Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Minimum 1 year experience working with healthcare reimbursement systems. Ability to prioritize daily tasks. Working knowledge of medical terminology. Customer service skills with the ability to work in a team environment. Experience in MS Word, Excel and Outlook.

Duties
Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Minimum 1 year experience working with healthcare reimbursement systems. Ability to prioritize daily tasks. Working knowledge of medical terminology. Customer service skills with the ability to work in a team environment. Experience in MS Word, Excel and Outlook.

Experience
Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Entry level position; 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast paced, rapidly changing environment Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.

Position Summary
Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.

Education
Verifiable High School diploma or GED is required.

What days & hours will the person work in this position List training hours, if different.
Monday-Friday 8am to 4:30pm