Top 9 Senior medical coding specialist (remote) Jobs in Columbus

Pharmacy Billing Representative- Remote
CITYWIDE RX LLC —Columbus, OH
- Weekends as needed
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid training
- Paid holidays
Quick Apply
8d
Remote Physician Coding Specialist II
Mount Carmel —Columbus, OH
- Full-time
- Remote
- Surgery
- Mid-level
- High school diploma or GED
Financial Clearance Representative L2 (OON/Special Coverages)
Ohio State University Physicians —Columbus, OH
- $18.20 - $27.29 an hour
- Full-time
- Remote
- HIPAA
- Microsoft Office
- High school diploma or GED
- Wellness program
- Paid holidays
2d
Inpatient Coding Auditor
Huron Managed Services LLC —Columbus, OH
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
10d

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Pharmacy Billing Representative- Remote
CITYWIDE RX LLC —Columbus, OH
Professional and courteous telephone communication skills. Research and verify patient eligibility and insurance coverage with state and private insurance…
Quick Apply
8d
Remote Physician Coding Specialist II
Mount Carmel —Columbus, OH
Attends educational opportunities to enhance knowledge in coding and reimbursement systems and obtains/maintains certification from AHIMA or AAPC to validate…

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Pharmacy Billing Representative- Remote

CITYWIDE RX LLC
Columbus, OH

Quick Apply

Job Details

Full-time
8 days ago

Benefits

Paid training
Paid holidays
Disability insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Phone communication
High school diploma or GED
Medical billing and coding communication with insurance companies
Computer skills
Client interaction via phone calls

Full Job Description

Build Your Career with Us!

Competitive Pay • Stable Schedules • Career Growth • Multiple Shifts Available

SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities.

We are currently seeking a Third-Party Rejections Specialist to join our team. This role is focused specifically on hands-on third-party insurance rejection experience. If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want to hear from you!

Candidates must reside in Ohio, Virginia, or Kentucky.

What You'll Do

Perform duties and responsibilities assigned by the Billing Supervisor.
Research and verify patient eligibility and insurance coverage with state and private insurance providers.
Research, analyze, and resolve third-party insurance rejections in accordance with daily rejection reports.
Maintain and update patient billing, insurance, and coverage information in the system.
Submit and follow up on prior authorizations for state insurance programs.
Communicate directly with insurance companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.
Investigate and resolve pending billing and insurance issues.
Work with client facility staff and other applicable healthcare organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, when necessary.
Maintain accurate documentation and ensure billing information is current and complete.
Work independently while collaborating with the billing team to meet daily goals and deadlines.
Handle multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail.

Qualifications

Who We're Looking For

We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.

If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with direct third-party pharmacy rejection experience.

Required:

High school diploma or equivalent.
Direct, hands-on experience working with third-party pharmacy insurance rejections is required.
Experience must be in actual third-party rejection processing/resolution.
Strong computer skills and ability to learn and navigate multiple systems.
Excellent attention to detail and problem-solving skills.
Professional and courteous telephone communication skills.
Ability to work independently and as part of a team.
Ability to multitask and prioritize work in a fast-paced environment.
Strong organizational skills and follow-through.

Preferred:

Previous pharmacy experience.
Long-Term Care Pharmacy experience.
Experience with New York pharmacy billing claims.
Frameworks/ECM experience.
Experience working directly with insurance providers to resolve pharmacy claim rejections.

Schedule

We are hiring for multiple shifts!

Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred.

Available shifts may include:

8:00 AM – 4:00 PM
9:00 AM – 5:00 PM
11:00 AM – 7:00 PM
12:00 PM – 8:00 PM
3:00 PM – 11:00 PM
4:00 PM – 12:00 AM

What We Offer

Competitive pay based on experience.
Stable and consistent scheduling.
Opportunities for career growth.
Health, dental, and vision insurance.
Group life insurance and short-term disability.
Paid time off and paid holidays.
401(k) with company match.
Paid training and development opportunities.
Collaborative and supportive work environment.

Ready to Join the SpecialtyRx Team?

Apply today through our careers portal:

Apply Here – SpecialtyRx Careers

We look forward to reviewing your application and connecting with qualified candidates to schedule an interview.

EEO Statement

SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Quick Apply

Refine Your Search

senior medical coding specialist (remote) jobs in columbus

Pharmacy Billing Representative- Remote

Remote Physician Coding Specialist II

Financial Clearance Representative L2 (OON/Special Coverages)

Inpatient Coding Auditor

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