On-Site Medical Billing Specialist: Claims & Reimbursements

Concept Pharmacy; Pottsville (Schuylkill County); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Paid vacation and paid holidays

401(k) retirement plan

Job summary

Concept Billing Solutions is seeking a Medical Billing Specialist to support accurate pharmacy and healthcare billing. The role involves managing claims, researching discrepancies, and coordinating with insurance providers and internal teams to resolve billing issues.

The position requires attention to detail, experience with medical/pharmacy billing, and the ability to work across multiple systems. Benefits include medical insurance, paid vacation and holidays, and a 401(k) retirement plan.

Qualifications

• Experience with medical or pharmacy billing and insurance claim processing.
• LTC pharmacy billing experience is a plus.
• Familiar with Medicare, Medicaid, and commercial insurance processes.
• Strong attention to detail, organization, communication, and follow-through.
• Ability to work across multiple computer systems; Microsoft Excel proficiency is a plus.
• Knowledge of PointClickCare (PCC) preferred but not required.

Responsibilities

• Prepare, review, and submit billing claims accurately and on time.
• Maintain complete and accurate billing and insurance records.
• Review rejected or denied claims, investigate discrepancies, and assist with corrections, appeals, and resubmissions.
• Follow up on outstanding claims and reimbursement issues with payers.
• Verify insurance information and coordinate with pharmacy, census, and prior authorization teams as needed.
• Track open issues and document follow-up activity through resolution.

Skills

Detail-oriented

Organizational skills

Communication

Follow-through

Excel proficient

PCC knowledge

Job description

Concept Billing Solutions is seeking a Medical Billing Specialist to support accurate pharmacy and healthcare billing. The role involves managing claims, researching discrepancies, and coordinating with insurance providers and internal teams to resolve billing issues.

The position requires attention to detail, experience with medical/pharmacy billing, and the ability to work across multiple systems. Benefits include medical insurance, paid vacation and holidays, and a 401(k) retirement plan.