About this opportunity
WellDyne lists this Billing Coordinator - Specialty Pharmacy opportunity in lakeland, Florida. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Company OverviewAt our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.Our VisionFulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.Our MissionTo be the disruptive force that drives meaningful change within pharmacy services.Essential Duties & ResponsibilitiesManages the adjudication inboxesAssists with medical claims billingResponsible for troubleshooting orders with a rejected status; refill too soon, increase/decrease of dose, duplicate claim, and eligibility issues.Responsible for the reconciliation of the master claims queueAssist with billing projects, ie. Member AR report, COGS, etc.Ensures insurance information is accurate for correct adjudication.Assists patients in the re-enrollment of copay cards and patient assistance plansCommunicates with patient assistance plans when necessary to obtain paymentAssists with the timely initiation and resolution of prior authorizationsWorks with appropriate staff members to resolve claims issuesFollow and aid in enforcement of all company policies and procedures.Respect and maintain confidentiality guidelines of HIPAA.Responsible for other duties as assigned.Education and ExperienceHigh School Diploma or equivalentCertified and Registered Pharmacy Technician, (Colorado) in good standing requiredRegistered with the State of Florida (Florida techs only) in good standing required, certification preferredPrevious Prior Authorization or Claims experience is preferredKnowledge, Skills, and AbilitiesDemonstrates a high degree of personal responsibility regarding accuracy and quality of work.Demonstrates ability to work effectively and maintain expected productivity.Ensures accuracy of information being provided to Management for review.Schedules own time based on priorities.Demonstrates Excellent customer service and ProfessionalismAbility to multi-taskAbility to communicate effectively, patiently, and courteously.Ability to work in a high pace, stressful environment.Should be independent and self-motivated.Maintains a good attendance record.Work Environment / Physical DemandsThis position is in a typical office environment which requires prolonged sitting and standing in front of a computer. In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients and employees. This position may be required to work long hours.
Worksite address
lakeland, FL, 33801, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.