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SalaryDescription
About Orsini Specialty Pharmacy
Providing patients with comprehensive and compassionate care since 1987, Orsini Specialty Pharmacy is a leader in rare diseases and gene therapies. Orsini partners with biopharma innovators, healthcare providers, and payors to support patients and their families in accessing revolutionary treatments for rare diseases. Through integrated pharmacy distribution, patient services, clinical management and convenient home infusion services, Orsini delivers customized solutions that simplify how patients connect to advanced therapies. Orsini’s high-touch care model centers on experienced and trained therapy care teams that provide personalized patient care to ensure that No Patient is Left Behind™. Orsini Specialty Pharmacy holds accreditations with the Accreditation Commission for Health Care (ACHC), The Joint Commission, URAC and NABP. Orsini has earned URAC’s Rare Disease Pharmacy Center of Excellence Designation and ACHC's Distinction in Rare Diseases and Orphan Drugs.
Our Mission
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.
LIVE IT Values
At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.
Leading Quality, Integrity, Valued Partner, Empathy, Innovation, and Team-First
POSITION SUMMARY
The Medical Biller will ensure proper and efficient billing to all Major Medical payers for Home Infusion and Specialty product lines. The biller will also ensure the accuracy of their work and ensures that performance goals are met. They will also assist with problem solving issues with high dollar AR accounts, and adhere to regulatory and payer guidelines for billing. Interfaces with a variety of internal and external customers to ensure the best patient experience in the most efficient manner. Ensures that all HIPAA, policies/procedures and compliance requirements are met within the role. Initial training for this role will be onsite - local candidates preferred.
REQUIRED KNOWLEDGE, SKILLS & TRAINING
The Medical Biller will ensure proper and efficient billing to all Major Medical payers for Home Infusion and Specialty product lines. The biller will also ensure the accuracy of their work and ensures that performance goals are met. They will also assist with problem solving issues with high dollar AR accounts, and adhere to regulatory and payer guidelines for billing. Interfaces with a variety of internal and external customers to ensure the best patient experience in the most efficient manner. Ensures that all HIPAA, policies/procedures and compliance requirements are met within the role. Initial training for this role will be onsite - local candidates preferred.
REQUIRED KNOWLEDGE, SKILLS & TRAINING
- High School Diploma or equivalent from accredited school required
- Minimum one year relevant experience required.
- Previous pharmacy, home infusion, and specialty pharmacy drug billing strongly preferred.
- Knowledge of adjudicating claims and process
- Proficiency with Microsoft Office (Word, Excel).
- Excellent internal and external customer service skills.
- Ability to work in fast-paced environment.
- Ability to prioritize workload.
- Must be extremely detail oriented.
ESSENSTIAL JOB DUTIES
- Submit timely, accurate invoices to payer for products and services provided.
- Correctly determine quantities and prices for nursing services.
- Verify services and products are correctly authorized and that required documentation is on file prior to billing.
- Ensure invoices are submitted for services and products that are properly ordered and confirmed as provided.
- Ensure all required documentation for billing is completed and accurate prior to claim submission.
- Adhere to Regulatory/Payor Guidelines and policies/procedures.
EMPLOYEE BENEFITS
- BCBSIL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement
