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Form of work- Client Health, Specialty Pharmacy, a mail service pharmacy in the Monroeville area, has an opportunity available for a full-time billing/collection’s representative.
- The Pharmacy Billing/Collections Representative will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.
- Third Party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
- Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
- Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
- Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
- Maintain patient demographic information in data collections systems.
- Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
- Research and respond by telephone, via the internet and in writing to patients, physicians’ offices, insurance companies and governmental payers regarding billing issues and problems as well to expedite claims processing.
- Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.
- Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors.
- This position requires work within several different operating systems and web-based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Requirements
- Client Caremark Requirements.
- Prior Client/Healthcare work experience.
- Verifiable High School Diploma or GED Required.
- 1+ year(s) experience performing healthcare reimbursement, medical insurance billing or related work.
- Customer service in healthcare environment.
- Experience working with a healthcare reimbursement system preferred.
- Ability to communicate with clientele in a professional manner; both verbally and written.
- Attention to detail.
- Ability to utilize analytical skills.
- Effective customer service skills and experience that shows ability to work in a team environment.
- Experience in MS Office, specifically Excel, Outlook, and Word.
- Must have billing experience.
As an equal opportunity employer, ICONMA prides itself on creating an employment environment that supports and encourages the abilities of all persons regardless of race, color, gender, age, sexual orientation, citizenship, or disability.
