About this opportunity
Rose International lists this Pharmacy Billing Representative opportunity in monroeville, Pennsylvania. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Pharmacy Billing RepresentativeRequired Education: Verifiable High School Diploma or EquivalentRequired Qualifications/Skills/Experience:Minimum 1 year of experience performing healthcare reimbursement, medical insurance/billing, or related workMinimum 1 year of experience working with healthcare reimbursement systemsWorking knowledge of medical terminologyExperience with Microsoft Word, Excel, and OutlookStrong communication and interpersonal skillsStrong customer service skills and ability to work effectively in a team environmentStrong organizational and prioritization skillsAbility to prioritize daily tasksAbility to work in a fast-paced, rapidly changing environmentGood computer and typing skillsAbility to work across multiple operating systems and web-based programsPreferred Qualifications/Skills/Experience:1–2 years of pharmacy billing experienceExperience qualifying, preparing, and submitting claims to Medicare Part B, Major Medical, and MedicaidExperience working with pharmacy operations, LTC facilities, prescriber offices, third-party payers, patients, or claim processorsPharmacy Billing Representative Overview:The Pharmacy Billing Representative is responsible for supporting timely and accurate billing activities, including qualifying, preparing, and submitting claims and working outstanding balances through resolution. The role requires experience with healthcare reimbursement, medical insurance or billing, and healthcare reimbursement systems. The representative will work within multiple operating systems and web-based programs to retrieve document images, collect supporting information related to fills, and process claims through resolution while maintaining compliant, timely, and accurate billing practices. The position also involves communication with healthcare facility staff, pharmacy operations teams, prescriber offices, third-party payers, patients, responsible parties, and claim processors. Strong organization, prioritization, customer service, communication, computer, and Microsoft Office skills are important for success. This is a hybrid opportunity based in the Monroeville, Pennsylvania area, with potential to work from home based on performance and business needs.Job Duties:Qualify, prepare, and submit claims to Medicare Part B, Major Medical, and MedicaidProcess unbilled claims and support timely account payment for outstanding balancesWork within multiple operating systems and web-based programsRetrieve document images and collect supporting or additional information on fillsResearch and work claims through resolutionMaintain compliant, timely, and accurate billing practicesCommunicate with LTC facility staff, pharmacy operations staff, prescriber offices, third-party payers, patients, responsible parties, and claim processorsPrioritize daily billing activities and manage multiple tasksProvide excellent customer service and work effectively within a team environmentUse Microsoft Word, Excel, and Outlook as part of daily workflow**Only those lawfully authorized to work in the designated country associated with the position will be considered.****Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**
Worksite address
monroeville, PA, 15146, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.