BILLING REPRESENTATIVE

Talentify; Ridgefield Park (NJ); On-site; USD 42,000 - 64,000; Full time

Job summary

SpecialtyRx, Inc. in Ridgefield Park, NJ is seeking a Billing Representative with Pharmacy experience to support our billing operations. You will research patient eligibility, process insurance rejections, and maintain billing data.

The role requires prior Retail pharmacy billing experience; Long Term Care billing is a plus. Training onsite for 3 weeks is provided, with evening and weekend shifts as needed.

Qualifications

• HS diploma or equivalent.
• Courteous and polite phone skills.
• Computer literate.
• Ability to work nights and weekends.
• Previous experience in Retail pharmacy is a must.
• Experience in Long Term Care Pharmacy. (Preferred)
• Must be able to work independently and as a team.
• The ability to multitask and work in a fast-paced environment is a must.
• Experience in New York Pharmacy billing claims. (Preferred)
• Frameworks/ECM knowledge is a plus.
• Must be detail-oriented.

Responsibilities

• Perform duties assigned by the Billing Supervisor.
• Research and establish patient eligibility coverage with insurance providers (state and private)
• Determine and process insurance rejections by the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
• Follow up and resolved pending billing issues.

Skills

Phone skills

Multitasking

Detail-oriented

Teamwork

Independence

Education

High School Diploma

Tools

Billing software

Computer literacy

Job description

SpecialtyRx is a full-service pharmacy. We need Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location.

Hours: 12:00pm-8:00pm, Monday through Friday and rotating weekends

Must be able to train for 3 weeks onsite

Billing Representative Responsibilities:

• Perform duties assigned by the Billing Supervisor.
• Research and establish patient eligibility coverage with insurance providers (state and private)
• Determine and process insurance rejections by the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
• Follow up and resolved pending billing issues.

Billing Pharmacy Representative Requirements:

• H.S. diploma or equivalent.
• Courteous and polite phone skills.
• Computer literate.
• Ability to work nights and weekends.
• Previous experience in Retail pharmacy is a must.
• Experience in Long Term Care Pharmacy. (Preferred)
• Must be able to work independently and as a team.
• The ability to multitask and work in a fast-paced environment is a must.
• Experience in New York Pharmacy billing claims. (Preferred)
• Frameworks/ECM knowledge is a plus.
• Must be detail-oriented.

EEO Statement:

Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans