Pharmacy Biller

Job Description

Job Description

POSITION SUMMARY: 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

Education and Qualifications

• 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

Company Description

T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.

We are an Equal Opportunity Employer.

Company Description

T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.