Job Overview
We are seeking a detail-oriented and proactive Billing Specialist to join our dynamic healthcare team. In this role, you will be responsible for managing the entire billing process, ensuring accurate and timely submission of claims, and maintaining precise medical records. Your expertise will help optimize revenue cycles, improve cash flow, and enhance patient satisfaction through efficient billing practices.
Responsibilities
- Perform prescription claims adjudications for all pharmacy insurance programs
- Handle Med-A billing to nursing facilities
- Provide prescription price quotes to nursing centers and prescriber’s representative
- Handle billing exceptions for the pharmacy
- Assist the pharmacy business office manager with all month-end closing functions and processes
- Process combine prescription billing (same drug with multiple doses)
- Assist with prescription billing errors
- Analyze billing rejection errors and trends for continuous improvement opportunities
- Process and manage prior authorization and non-covered prescription orders
- Census management
- EOM, hospice and weekly rejects; Medicaid pending and facility corrections
- Must have the ability to relate professionally and positively and work cooperatively with patients, families, and other employees at all levels
Qualifications
- High school diploma or equivalent
- Valid CPhT license in good standing
- Minimum one (1) year billing experience required
- Minimum one (1) year pharmacy billing experience, preferred
We are EOE
INDMN
Pay: $23.50 - $24.50 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- billing: 1 year (Required)
License/Certification:
- Pharmacy Technician Certification (Required)
Ability to Commute:
- Eden Prairie, MN 55344 (Required)
Work Location: In person
