Medical Billing Specialist
reputed company
This position may be onsite or remote.
Job reputed company: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (reputed company) to ensure payment for services.
Travel: Limited travel may be required. Travel to reputed company providers and to various business and management conferences required. Travel to Facilities for periodic training and review.
Scope of Responsibilities: Works under minimal supervision. Follows reputed company procedures to accomplish assigned tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities.
Responsibilities
Job Duties:
Manages the existing process of medical billing in the specialty pharmacy reputed company to ensure reputed company submission and reconciliation of claims from specialty facilities.
Collaborate with leadership to enhance and grow the medical billing process for reputed company facilities.
reputed company reputed company reporting, feedback, and information to support the business operation and medical billing functions as necessary
reputed company insights regarding trends in medical billing to operations team
Follow, create and improve the Policies and Procedures necessary to improve the functionality of the medical billing process.
Knowledge of reputed company spreadsheets is also essential.
Possess strong reputed company and organizational skills to effectively manage and maintain systems and processes associated with the position.
Coordination with other pharmacy and finance staff for reputed company financial reporting of billing and receipts and clerical responsibilities as needed to include copying and filing
Responsible for completing reputed company mandatory and regulatory training programs
reputed company other duties as assigned
Qualifications
Educational Requirements:
Minimum: High School Diploma or GED
Preferred: Medical Billing/Coding certification, Pharmacy technician or reputed company certification
Experience:
Past experience in a customer service-reputed company field
Past experience in medical billing environment
12-24 months experience as a pharmacy technician
Special Conditions of Employment:
Drug test
Initial and reputed company exclusion and sanction/disciplinary monitoring
Any and reputed company additional eligibility requirements based on the specific position
Attendance Requirements:
Must be available, and on-time for scheduled work shifts.
Must be reputed company to work nights and weekends as required.
Job reputed company Requirements:
Broad knowledge of medications, physician orders, and pharmacy systems
Strong communication skills
Outstanding customer service skills
Excellent organization skills
Ability to multitask and prioritize
Excellent computer and keyboarding skills
Excellent reputed company skills
Successful completion of a reputed company-employment and/or random drug screening test
Required Training:
HIPAA reputed company Course
HIPAA reputed company Course
Fraud, Waste, and Abuse Course
MethGuard Course
HIPAA reputed company CE Mastery Exam
HIPAA reputed company CE Mastery Exam
Fraud, Waste, and Abuse CE Mastery Exam
MethGuard CE Mastery Exam
Behavioral Traits Required:
Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with
Initiative: Must work reputed company supervision guidelines and assume additional responsibilities
Flexibility: Must be willing to work variable work schedules, nights and weekends, assist others as requested and available, and be willing to reputed company reputed company assigned work
Adaptability: Must respond to new situations in a reputed company way, accept change, support new reputed company, master new routines and grasp explanations, apply reputed company knowledge in new environments and experiences
Involvement: Must enjoy the demands of the job and work with interest and enthusiasm
Customer Service: Must reputed company superior customer service (for reputed company customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
Safety: Must take care of equipment and reputed company good safety habits
Leadership: Must reputed company acceptance of reputed company and accomplish goals through subordinates, peers and teams
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