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Medical Billing Specialist

Remote, USA Full-time Posted 2026-08-04
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 reputed company 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. reputed company of Responsibilities: Works under reputed company 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 reputed company 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 reputed company - 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 reputed company 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 Apply To This Job

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