Pharmacy Billing: Third-Party Rejections Specialist

SPECIALTY RX, Inc.; Elizabethtown (KY); Remote; USD 45,000 - 60,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) with company match

Paid time off

Paid holidays

Training and development

Career growth

Job summary

SpecialtyRx, Inc. is seeking a Third-Party Rejections Specialist to join our billing team.

You will research and resolve third-party insurance rejections, verify patient eligibility, and communicate with insurers to correct coverage issues, ensuring accurate billing and timely reimbursements. The role requires hands-on rejection processing experience, strong attention to detail, and the ability to work independently in a fast-paced environment.

Qualifications

• Direct, hands-on experience with third-party pharmacy insurance rejections.
• Experience with actual third-party rejection processing and resolution.
• Excellent attention to detail and problem-solving skills.
• Strong computer skills and ability to learn multiple systems.
• Professional and courteous telephone communication.
• Ability to multitask in a fast-paced environment.

Responsibilities

• Research and verify patient eligibility and insurance coverage.
• Research, analyze, and resolve third-party insurance rejections.
• Maintain and update patient billing and coverage information.
• Submit and follow up on prior authorizations for state insurance programs.
• Communicate with insurance companies regarding rejections and claim updates.
• Investigate and resolve pending billing and insurance issues.
• Work with facility staff and healthcare agencies as needed.

Skills

Third-party rejection experience

Detail-oriented

Strong problem solving

Education

High school diploma

Tools

Billing systems

Job description

SpecialtyRx, Inc. is seeking a Third-Party Rejections Specialist to join our billing team.

You will research and resolve third-party insurance rejections, verify patient eligibility, and communicate with insurers to correct coverage issues, ensuring accurate billing and timely reimbursements. The role requires hands-on rejection processing experience, strong attention to detail, and the ability to work independently in a fast-paced environment.