Pharmacy Billing Specialist: Claims & Payments Expert

SelectQuote Insurance Services; United States; On-site; USD 25,000 - 29,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

HSA/FSA

Retirement plan

Tuition reimbursement

Employee assistance program

Job summary

SelectQuote Insurance Services seeks a Pharmacy Billing Specialist to manage posting and patient account payments, and submit claims to insurance companies. The role requires handling inquiries from patients, clerical staff, and insurers while ensuring HIPAA compliance and confidentiality.

Responsibilities include submitting clean claims, arranging payment plans, and pursuing delinquent accounts. A Pharmacy Technician certification and state licenses are required, with options for remote work

Qualifications

• 1 year of medical billing and collections practice experience preferred
• Knowledge of basic medical coding and third-party operating procedures and practices 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 the status of delinquent accounts
• Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor
• Prepares information for the collection agency
• Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
• Participating in educational activities and attending monthly staff meetings
• Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations

Skills

Detail-oriented

Computer skills

Phone system operation

Customer service

English proficiency

Medical billing

HIPAA compliance

Billing & collections

Education

Pharmacy Technician Certification

State Pharmacy Technician license

Tools

Medical billing software

Electronic claims submission

Job description

SelectQuote Insurance Services seeks a Pharmacy Billing Specialist to manage posting and patient account payments, and submit claims to insurance companies. The role requires handling inquiries from patients, clerical staff, and insurers while ensuring HIPAA compliance and confidentiality.

Responsibilities include submitting clean claims, arranging payment plans, and pursuing delinquent accounts. A Pharmacy Technician certification and state licenses are required, with options for remote work