Specialty Billing Specialist: Medicare & Patient Payments

Walgreens Co.; New Orleans (LA); On-site; USD 28,000 - 36,000; Full time

Job summary

Walgreens Co. seeks a Pharmacy Billing Specialist to manage the accurate billing and collection of third-party and patient payments for products and services rendered. You will submit invoices to payers, verify authorizations, and ensure documentation meets policy requirements.

Responsibilities include reviewing reports to maximize recovery opportunities, handling patient balances, and supporting third-party audits while maintaining compliance with company policy and regulatory guidelines.

Qualifications

• High School Diploma or equivalent required.
• Pharmacy Technician license required in states where applicable.
• PTCB or ExCPT certification or state-required certification/registration.
• Experience communicating verbally and in writing to various audiences.

Responsibilities

• Submit timely, accurate invoices to payer for products and services provided.
• Determine quantities and prices for products and services billed.
• Verify services and products are authorized and documentation is on file.
• Ensure Medicare documentation is received and submitted.
• Review reports to maximize generic substitution opportunities.
• Manage and collect patient balances prior to prescription dispensing or per policy.
• Ensure all billing documentation is complete before claim submission.
• Process reimbursement checks/payments per policy.
• Review price modify logs and verify SDL claims.
• Review and resolve third party chargebacks promptly.
• Assist with third party audits per policy.
• Process and file all SDL claims per policy.
• Handle prescription exceptions including prior authorizations and referrals, and identify copay assistance opportunities.
• Communicate proactively with patients and providers regarding referral/prescription status.
• Assist patients with enrollment in assistance programs and verify eligibility.
• Handle non-personal calls to physicians and third party payers.
• Maintain expertise in external billing practices to coach staff.

Skills

Verbal & written communication

Customer service

Data entry

Education

High School Diploma or equivalent

Pharmacy Technician license

PTCB/ExCPT certification

Experience communicating with audiences

Tools

MS Excel

Job description

Walgreens Co. seeks a Pharmacy Billing Specialist to manage the accurate billing and collection of third-party and patient payments for products and services rendered. You will submit invoices to payers, verify authorizations, and ensure documentation meets policy requirements.

Responsibilities include reviewing reports to maximize recovery opportunities, handling patient balances, and supporting third-party audits while maintaining compliance with company policy and regulatory guidelines.