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Billing Representative

SpecialtyRx
Ridgefield Park, USA
Full-time
Entry
Onsite
USD 19-21 hourly
Discovered 2 months ago

Full Job Posting

  • 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.
  • H.S. 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.

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