Remote Billing Specialist: Third-Party Rejections Expert

SpecialtyRx; Ridgefield Park (NJ); Remote; USD 2,755,000 - 3,306,000; Full time

Job summary

SpecialtyRx, a full-service pharmacy, is seeking a Remote Billing Representative with Third Party Rejections experience for our Ridgefield Park, NJ location. The role requires LTC Pharmacy Third Party Billing expertise and the ability to train for three weeks on-site.

You will research patient eligibility, determine and process insurance rejections, and maintain accurate billing records. The position offers flexible hours and a fast-paced environment in a retail pharmacy setting.

Qualifications

• H.S. diploma or equivalent.
• Experience with LTC Pharmacy Third Party Billing.
• Ability to train onsite for 3 weeks.
• Experience in New York Pharmacy billing is a plus.

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

Detail oriented

Multitasking

Team player

Education

High School Diploma

Tools

Billing software

Job description

SpecialtyRx, a full-service pharmacy, is seeking a Remote Billing Representative with Third Party Rejections experience for our Ridgefield Park, NJ location. The role requires LTC Pharmacy Third Party Billing expertise and the ability to train for three weeks on-site.

You will research patient eligibility, determine and process insurance rejections, and maintain accurate billing records. The position offers flexible hours and a fast-paced environment in a retail pharmacy setting.