Pharmacy Billing Coordinator

Pharmacy Billing Coordinator

Requirements

• 1+ years of Healthcare Insurance related experience.
• Experience using Microsoft Office products’ specifically Excel, Outlook, and Word.
• Must be able to commute to the Monroeville, PA office.

Responsibilities

• Third party insurance claim billing associated with the dispensing of prescription medication using the bill method required by the payer.
• Transmit or submit claims (electronic or paper) to insurance payers for reimbursement.
• Resolve claim rejections and denials that may have resulted from incorrect or incomplete information.
• Contact insurance companies, account managers, and patients for assistance in claim billing resolution.
• Maintain supporting chronological notes that detail action taken to resolve outstanding account balances.
• Maintain patient demographic information and data collection systems, including all billing reports, work queues or rejections according to payer and company policy guidelines.
• Research and respond by telephone, via the internet and in writing to insurance companies and governmental payers regarding billing questions, issues and problems.
• Contact patients and Physician’s offices as well as insurance companies as needed in order to expedite claims processing.

Preferred Qualifications

• Insurance billing or collections experience.
• Customer service in a healthcare environment.
• Experience working in a healthcare reimbursement system.
• Effective customer service skills and experience that shows ability to work in a team environment.
• Attention to detail.
• Ability to utilize analytical skills.
• Ability to navigate through multiple tasks simultaneously and prioritize based on importance while displaying strong attention to detail.
• Ability to communicate with clientele in a professional manner; both verbally and written.