Pharmacy Billing & Claims Specialist

Selectquote, Inc.; Northern (KY); Hybrid; USD 25,000 - 29,000; Full time

Benefits offered by this job

Competitive Medical, Dental, andVision

HSA/FSA

Tuition Reimbursement program

Job summary

SelectQuote in the United States is seeking a Pharmacy Billing Specialist to manage patient accounts and submit claims to insurers. This role involves answering questions from patients, staff, and insurers, and resolving billing issues while maintaining HIPAA compliance.

Key duties include preparing and sending statements, evaluating financial status, and arranging payment plans. The ideal candidate has billing experience and a meticulous, service-oriented mindset.

Qualifications

• 1 year of medical billing and collections experience preferred.
• Knowledge of basic medical coding and third-party operating procedures preferred.
• Knowledge of business office procedures.

Responsibilities

• Preparing and submitting clean claims to various insurance companies either electronically or by paper.
• Answering questions from patients clerical staff and insurance companies.
• Identifying and resolving patient billing complaints.
• Preparing reviewing and sending patient statements.
• Evaluating patient’s financial status and establishing budget payment plans; following and reporting delinquent accounts.
• Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor.
• Performs various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers.
• Maintaining strict confidentiality and adhering to HIPAA guidelines.

Skills

Detail-oriented

Medical billing

Claims submission

HIPAA compliance

English communication

Job description

SelectQuote in the United States is seeking a Pharmacy Billing Specialist to manage patient accounts and submit claims to insurers. This role involves answering questions from patients, staff, and insurers, and resolving billing issues while maintaining HIPAA compliance.

Key duties include preparing and sending statements, evaluating financial status, and arranging payment plans. The ideal candidate has billing experience and a meticulous, service-oriented mindset.