Billing Specialist — Flexible Hours & Care-Driven

City of Lincoln; Atlanta (GA); Remote; USD 40,000 - 55,000; Full time

Job summary

SpecialtyRx, Inc. is seeking a full-time Billing Specialist to manage patient billing and insurance information, research eligibility, and process rejections under the Billing Supervisor.

The role requires a high school diploma, experience with third-party rejections, and the ability to work independently or on a team in a fast-paced environment; evenings and weekends may be required.

Qualifications

• H.S. diploma or equivalent.
• Third party rejections required.
• Experience in Long Term Care Pharmacy preferred.
• Experience in New York Pharmacy billing claims preferred.
• Courteous and polite phone skills.
• Previous experience in pharmacy.
• Must be able to work independently and as a team.
• Ability to multitask and work in a fast-paced environment a must.
• 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 in accordance with the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with insurance company on daily basis, i.e., overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessary.
• Follow up and resolved pending billing issues.

Skills

Courteous phone skills

Multitasking

Independent and team

ECM knowledge

Education

High school diploma

Tools

ECM knowledge

Job description

SpecialtyRx, Inc. is seeking a full-time Billing Specialist to manage patient billing and insurance information, research eligibility, and process rejections under the Billing Supervisor.

The role requires a high school diploma, experience with third-party rejections, and the ability to work independently or on a team in a fast-paced environment; evenings and weekends may be required.