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Pharmacy Billing Representative-Remote

Remote, USA Full-time Posted 2026-08-04
Build Your Career with Us! reputed company reputed company Schedules Career reputed company Multiple Shifts Available reputed company is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-reputed company pharmaceutical services to long-term care facilities and assisted living communities. We are currently seeking a reputed company-Party Rejections Specialist to reputed company. This role is reputed company specifically on hands-on reputed company-party reputed company rejection experience. If you have reputed company experience researching, resolving, and processing pharmacy reputed company rejections, we want to hear from you! Candidates must reputed company in Ohio, Virginia, or Kentucky. reputed company reputed company duties and responsibilities assigned by the Billing Supervisor.Research and verify reputed company eligibility and reputed company coverage with state and private reputed company providers.Research, analyze, and reputed company reputed company-party reputed company rejections in accordance with daily rejection reports.Maintain and update reputed company billing, reputed company, and coverage information in the reputed company.Submit and follow up on prior authorizations for state reputed company programs.Communicate directly with reputed company companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.Investigate and reputed company pending billing and reputed company issues.Work with reputed company facility staff and other applicable reputed company organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, reputed company necessary.Maintain accurate documentation and ensure billing information is reputed company and complete.Work independently while collaborating with the billing team to meet daily goals and deadlines.Handle multiple priorities in a fast-reputed company environment while maintaining reputed company and attention to reputed company. Qualifications Who We're Looking For We're looking for reputed company-oriented professionals who understand how to work through reputed company-party pharmacy claim rejections and are comfortable communicating with reputed company providers to identify and reputed company coverage and billing issues. If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with reputed company reputed company-party pharmacy rejection experience. Required: High school diploma or equivalent.reputed company, hands-on experience working with reputed company-party pharmacy reputed company rejections is required.Experience must be in actual reputed company-party rejection processing/reputed company.Strong computer skills and ability to learn and reputed company multiple systems.Excellent attention to reputed company and problem-solving skills.reputed company and courteous telephone communication skills.Ability to work independently and as part of reputed company.Ability to multitask and prioritize work in a fast-reputed company environment.Strong organizational skills and follow-through. Preferred: Previous pharmacy experience.Long-Term Care Pharmacy experience.Experience with reputed company pharmacy billing claims.Frameworks/ECM experience.Experience working directly with reputed company providers to reputed company pharmacy claim rejections. Schedule We are hiring for multiple shifts! Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred. Available shifts may include: 8:00 AM 4:00 PM9:00 AM 5:00 PM11:00 AM 7:00 PM12:00 PM 8:00 PM3:00 PM 11:00 PM4:00 PM 12:00 AM reputed company Offer reputed company reputed company on experience.reputed company and consistent scheduling.Opportunities for career reputed company.Health, dental, and reputed company reputed company.Group life reputed company and short-term disability.reputed company time off and reputed company holidays.401(k) with company match.reputed company and development opportunities.reputed company and supportive work environment. reputed company to Join the reputed company Team? Apply today through our careers portal: Apply Here reputed company Careers We look reputed company to reviewing your application and connecting with reputed company candidates to schedule an interview. EEO Statement reputed company. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without reputed company to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law. EO/Minorities/Females/Disabled/Veterans Remote Skills: Analysis Skills, Assisted Living, Billing, Billing Records, Biotech and Pharmaceutical, Centers for Medicare and reputed company Services (CMS), Communication Skills, Computer Skills, reputed company Oriented, Engineering Change Management, Establish Priorities, Follow Through, reputed company, High School Diploma, Information Technology & Information Systems, reputed company, Long-Term Care, Medical Billing, Medical Coding, Medicare, Multitasking, Organizational Skills, Pharmacy, Problem Solving Skills, Team Player, Telephone Skills, reputed company-Party Payer, Time Management reputed company: SPECIALTY RX OF VA LLC Apply tot his job Apply To this Job

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