Billing Specialist

Our Company

SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. SpecialtyRx takes pride in delivering personalized care and quality pharmacy services.

Responsibilities

• Perform duties assigned by the Billing Supervisor
• Research and establish patient eligibility coverage with insurance providers (state and private)
• Determine and process insurance rejections in accordance with the daily report
• Maintain and update patient billing and insurance information in the system
• Submit prior authorizations for State insurance
• Interact with insurance company on daily basis, i.e., overrides, rejections, and insurance updates
• Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessary
• Follow up and resolved pending billing issues

Qualifications

• H.S. diploma or equivalent
• Courteous and polite phone skills
• Computer literate
• Ability to work nights and weekends
• Previous experience in pharmacy
• Experience in Long Term Care Pharmacy preferred
• Experience in New York Pharmacy billing claims preferred
• Must be able to work independently and as a team
• Ability to multitask and work in a fast-paced environment a must
• Frameworks/ECM knowledge a plus
• Must be detail oriented

Company Benefits

• We offer a competitive salary and benefit package

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 and gender identity or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans