Pharmacy Billing & Patient Payments Specialist

Walgreens; Indianapolis (IN); Sur place; USD 28 000 - 36 000; Plein temps

Résumé du poste

Walgreens in Indianapolis seeks a Pharmacy Billing Specialist to manage accurate billing and collections for third party and patient payments for pharmaceutical products and services rendered. You will submit invoices, verify authorizations, manage Medicare documentation, and handle patient balances while ensuring compliance with company policy and audits.

Prior authorization and copay assistance opportunities will be identified.

Qualifications

• High School Diploma or equivalent required.
• Pharmacy Technician license required where applicable.
• PTCB or ExCPT certification through the designated training program or state required certification/registration.

Responsabilités

• 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 per 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 SDL claims exist.
• Review, research and resolve all third party chargebacks promptly.
• Assist with third party audits per policy.
• Process and file all SDL claims per policy.
• Process prescription exceptions including prior authorizations and referrals, identify copay assistance opportunities.
• Communicate proactively with patients and providers regarding referral/prescription status.
• Assist patients with assistance programs enrollment and verify eligibility and reporting.

Connaissances

Communication skills

Customer service

Data entry

Formation

High School Diploma or equivalent

Pharmacy Technician license

PTCB/ExCPT certification

Outils

MS Excel

Description du poste

Walgreens in Indianapolis seeks a Pharmacy Billing Specialist to manage accurate billing and collections for third party and patient payments for pharmaceutical products and services rendered. You will submit invoices, verify authorizations, manage Medicare documentation, and handle patient balances while ensuring compliance with company policy and audits.

Prior authorization and copay assistance opportunities will be identified.