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SalaryDescription
Orsini Specialty Pharmacy is a nationwide specialty pharmacy focused on providing exceptional care to patients throughout their journey. We focus on disease programs that require a high-touch patient experience and provide those we care for genuine empathy and compassion as part of our service delivery.
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
- 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.
- BCBSIL Medical
- Delta Dental
- EyeMed Vision
- 401k
- Accident & Critical Illness
- Life Insurance
- PTO, Holiday Pay, and Floating Holidays
- Tuition Reimbursement
