Pharmacy Billing Specialist
JobRx, Inc.
JOB SUMMARY Works under supervision to provide support on all pharmacy billing inquiries. BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full‑time employee‑only coverage 100% coverage for preventive healthcare—no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! EXPERIENCE AND EDUCATION Required Education High School Diploma, high school graduation, vocational school graduation, or GED. Experience 2 years of relevant experience as a pharmacy technician or pharmacy claims billing specialist. Licenses and Certifications Registration with Texas State Board of Pharmacy as a Registered Technician upon hire. Preferred Licenses and Certifications At least one coding certification (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, or CBP), or National Certification with Pharmacy Technician Certification Board. JOB DUTIES Monitor assigned pharmacy work queues, resolve errors, and respond to requests for information; work with others internally to resolve any issues. Track and resolve at‑risk revenue associated with payer set up, billing, rebilling and reversal processes. Prepare and maintain reports that help identify discrepancies related to billing, reimbursement, and/or drug price inaccuracies. Help answer questions related to reconciliations, claim billing, and reimbursement. Run reports as needed. Reconcile all pharmacy invoices. Assist others within the pharmacy finance team. Perform other duties as assigned. SECURITY AND EEO STATEMENT Security: This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO: UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal‑opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. #J-18808-Ljbffr
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