Healthcare Billing & Collections Specialist

Walgreens; Peoria (IL); On-site; USD 28,000 - 33,000; Full time

Job summary

Walgreens is seeking a billing professional in Peoria, IL to manage accurate invoicing and payment collections for products and services rendered. Responsibilities include submitting invoices, verifying authorizations, and handling Medicare documentation, while supporting third-party audits and patient communications.

The role emphasizes accuracy, timely processing, and proactive problem-solving across payer types and internal policies to ensure cash flow and compliance in a fast-paced retail

Responsibilities

• Submit timely, accurate invoices to payer for products and services provided.
• Correctly determine quantities and prices for products and services billed.
• Verify services and products are correctly authorized and required documentation is on file.
• Ensure all Medicare documentation is received from the medical provider and submitted to Danville.
• Review reports to maximize generic substitution opportunities.
• Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
• Ensure all required documentation for billing is completed and accurate prior to claim submission.
• Process reimbursement checks/payment in accordance with policy.
• Review price modify logs and ensure there are corresponding SDL (submit direct link) claims.
• Review, research and resolve all third party chargebacks in a timely manner.
• Assist with any third party audits, in accordance with company policy.
• Process and file all SDL (submit direct link) claims in accordance with company policy.
• Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities.
• Responsible for proactive communication to patients...

Job description

Walgreens is seeking a billing professional in Peoria, IL to manage accurate invoicing and payment collections for products and services rendered. Responsibilities include submitting invoices, verifying authorizations, and handling Medicare documentation, while supporting third-party audits and patient communications.

The role emphasizes accuracy, timely processing, and proactive problem-solving across payer types and internal policies to ensure cash flow and compliance in a fast-paced retail