Pharmacy Billing Specialist - Evening/Weekend Shift

Talentify; Ridgefield Park (NJ); On-site; USD 42,000 - 64,000; Full time

Job summary

SpecialtyRx, Inc. in Ridgefield Park, NJ is seeking a Billing Representative with Pharmacy experience to support our billing operations. You will research patient eligibility, process insurance rejections, and maintain billing data.

The role requires prior Retail pharmacy billing experience; Long Term Care billing is a plus. Training onsite for 3 weeks is provided, with evening and weekend shifts as needed.

Qualifications

• HS diploma or equivalent.
• Courteous and polite phone skills.
• Computer literate.
• Ability to work nights and weekends.
• Previous experience in Retail pharmacy is a must.
• Experience in Long Term Care Pharmacy. (Preferred)
• Must be able to work independently and as a team.
• The ability to multitask and work in a fast-paced environment is a must.
• Experience in New York Pharmacy billing claims. (Preferred)
• Frameworks/ECM knowledge is a plus.
• Must be detail-oriented.

Responsibilities

• Perform duties assigned by the Billing Supervisor.
• Research and establish patient eligibility coverage with insurance providers (state and private)
• Determine and process insurance rejections by the daily report.
• Maintain and update patient billing and insurance information in the system.
• Submit prior authorizations for State insurance.
• Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
• Follow up and resolved pending billing issues.

Skills

Phone skills

Multitasking

Detail-oriented

Teamwork

Independence

Education

High School Diploma

Tools

Billing software

Computer literacy

Job description

SpecialtyRx, Inc. in Ridgefield Park, NJ is seeking a Billing Representative with Pharmacy experience to support our billing operations. You will research patient eligibility, process insurance rejections, and maintain billing data.

The role requires prior Retail pharmacy billing experience; Long Term Care billing is a plus. Training onsite for 3 weeks is provided, with evening and weekend shifts as needed.