Billing Specialist

Home Caregivers Partnership; Tempe (AZ); On-site; USD 42,000 - 66,000; Full time

Job summary

Home Caregivers Partnership in Tempe, AZ is seeking a Pharmacy Billing Specialist to assist pharmacy staff with collecting, posting, and managing account payments. The role focuses on reducing aging receivables while coordinating with insurers and care facilities on claims and patient insurance data.

The position requires strong attention to HIPAA guidelines, accurate billing, and proactive communication with insurance providers and internal teams to maintain smooth cash flow.

Qualifications

• Experience in medical billing and accounts receivable.
• Ability to communicate with insurers and facilities.
• Knowledge of HIPAA guidelines and privacy.

Responsibilities

• Perform all billing entry operations.
• Post payments to customer accounts and reconcile deposits.
• Manage 3rd party and private pay aging accounts.
• Coordinate billing, pricing, cycling and reporting for Cubex.
• Collaborate with long-term care facilities to collect insurance and census information.
• Call insurers and responsible parties to follow up on claims.
• Ensure billing for Medicaid, Medicare, private pay and 3rd party insurances.
• Research 3rd party discrepancies promptly.
• Send monthly statements.
• Answer billing-related inbound calls.
• Resolve billing issues or escalate as needed.
• Make collection calls for outstanding invoices.
• Provide estimated medication costs to administrators for new admits.
• Verify all insurance information.
• Work with pharmacy staff to diagnose problems and increase productivity.
• Maintain HIPAA confidentiality.
• Perform other duties as required.

Skills

Billing

Healthcare billing

Accounts receivable

Tools

Cubex

Job description

Job DetailsJob Location: CD Pharmacy/Red Rock Pharmacy - Tempe - Tempe, AZ 85282Position Type: Full TimeJOB DESCRIPTION

A billing specialist is responsible for assisting pharmacy staff in collecting, posting, and managing account payments. He/she will proactively initiate and conduct collection activity on all accounts, working closely with other pharmacy staff regarding the release and delivery of new orders, payment status and collection efforts. He/she will work continuously to reduce aging receivables.

Pharmacy Billing Specialist Duties:

• Performs all billing entry operations.
• Posts payments to customer accounts and manages bank deposit reconciliation.
• Manages 3rd party and private pay aging accounts efficiently.
• Manages billing, pricing, cycling and reporting for Cubex.
• Collaborates with long-term care facilities to collect accurate patient insurance and census information.
• Calls insurers, responsible parties and appropriate others to follow up on rejected claims and garner accurate insurance information.
• Ensures the proper billing of Medicaid, Medicare, private pay and 3rd party insurances.
• Researches 3rd party discrepancies in a timely manner.
• Processes, reviews, and sends out monthly statements efficiently.
• Answers all incoming calls related to billing issues.
• Resolves all billing issues or forwards to appropriate authority as needed.
• Makes collection calls for outstanding invoices.
• Provides estimated costs of medications to long-term facility administrators for new admits.
• Verifies all insurance information.
• Works with pharmacy staff in diagnosing problems to develop solutions to increase productivity.
• Maintains strictest confidentiality adhering to all HIPPA Guidelines & Regulations.
• Performs other duties and responsibilities as required and/or assigned.