Billing Representative
Specialty RX
Description SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours: 12:00pm-8:00pm, Monday through Friday and rotating weekends Must be able to train for 3 weeks onsite Please apply here
Billing Representative Responsibilities:
Billing Representative Responsibilities:
- Perform duties assigned by the Billing Supervisor.
- Research and establish patient eligibility coverage with insurance providers (state and private)
- Determine and process insurance rejections by the daily report.
- Maintain and update patient billing and insurance information in the system.
- Submit prior authorizations for State insurance.
- Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
- Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
- Follow up and resolved pending billing issues.
- H.S. diploma or equivalent.
- Courteous and polite phone skills.
- Computer literate.
- Ability to work nights and weekends.
- Previous experience in Retail pharmacy is a must.
- Experience in Long Term Care Pharmacy. (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.
Vacancy posted 3 days ago
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