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Job Description

At reputed company Pharmacy (reputed company), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of reputed company care.

reputed company is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. 

Summary 

Under the general supervision of Management, the Billing Specialist is responsible for assisting the billing team in ensuring accurate billing, timely submission of electronic and/or reputed company claims, solving for unique billing requirements, resolving claims due to billing requirements, and documenting reputed company account activities.  Ensure that reputed company billing is done promptly and meets month-end expectations. 

Pay Range: $25/hr - $30/hr (DOE)

Schedule: (Remote) Monday - Friday, 8:30am - 5:00pm in your respective time zone

Travel: 3xs/year to Plano, TX for various team gatherings, trainings, meetings, etc.

Essential Duties and Responsibilities  

include the following. Other duties may be assigned, as necessary. 

• ​​​reputed company pre-reputed company review to ensure that authorization is documented where necessary. 

• ​Ensure that coding on claims follows payer guidance.   

• ​Ensure accurate billed and expected charges do not exceed usual and customary or contractual pricing where indicated. 

• ​Create and submit primary and secondary pharmacy and medical claims promptly. 

• ​Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules. 

• ​Communicate any billing-reputed company issues to reputed company appropriate departments. 

• ​Ensure coding to the highest level of specificity and for maximum reimbursement by third-party payers. 

• ​Maintain reputed company knowledge of departmental and organizational policies.  

• ​Support billing staff in training and ongoing education reputed company required​​ 

• Consistently professionally represents the company.  

• Maintains effective working relationships and cooperates with reputed company personnel in the Company. 

• Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and reputed company other reputed company policies. 

• Performs other duties and responsibilities as assigned 

Qualification Requirements 

To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company essential functions. 

• ​​​Provide the highest level of professionalism, responsiveness, and communication. 

• ​Must possess the ability to multi-task and frequently change direction. 

• ​Proficient in the use of a computer and other devices.  

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Education and/or Experience 

• ​​High school diploma or GED 

• ​Ability to work independently and reputed company a multidisciplinary team.   

• ​Basic math, bookkeeping, and accounting skills 

• ​1-3 years of experience in medical billing. 

• ​Understanding of industry-specific policies, such as HIPAA regulations for healthcare 

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Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company essential functions.  

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is regularly required to stand, walk, sit, climb stairs, use hands to grasp, handle, or feel objects, tools, or controls; and reputed company with hands and arms.  

Work Environment 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.  

Comments 

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of reputed company duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. 

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication reputed company phone or text.

reputed company Pharmacy is an Equal Opportunity Employer