Pharmacy Billing Specialist – Full-Time (12–8, Rotating Weekends)

City of Lincoln; Ridgefield Park (NJ); On-site; USD 26,000 - 29,000; Full time

Job summary

SpecialtyRx, Inc. in Ridgefield Park, NJ, is seeking a Billing Representative with pharmacy experience to handle patient billing, insurance verifications, and prior authorizations in a fast-paced office.

Hours are 12:00pm-8:00pm, Monday through Friday with rotating weekends; training will occur onsite for 3 weeks before transitioning to regular duties. Strong communication and multitasking are essential.

Qualifications

• Must have high school diploma or equivalent.
• Experience in Retail pharmacy is a must.
• Pharmacy billing experience highly preferred.
• Ability to work nights and weekends.
• Courteous and polite phone skills.

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 resolve pending billing issues.

Skills

Phone skills

Detail oriented

Multitasking

Teamwork

Education

High school diploma

Tools

Frameworks/ECM

Job description

SpecialtyRx, Inc. in Ridgefield Park, NJ, is seeking a Billing Representative with pharmacy experience to handle patient billing, insurance verifications, and prior authorizations in a fast-paced office.

Hours are 12:00pm-8:00pm, Monday through Friday with rotating weekends; training will occur onsite for 3 weeks before transitioning to regular duties. Strong communication and multitasking are essential.