Billing Operations Specialist managing payer accounts and collections at PANTHERx Rare Pharmacy. Collaborating with Pharmacy Benefit Managers to ensure accurate billing and collections processes.
Responsibilities
Bills specialty pharmacy NCPDP (National Council for Prescription Drug Programs) claims.
Makes collection calls and research on past due assigned accounts.
Communicates with PBM for various rejections or overrides.
Researches and processes refunds as required.
Tracks denials trending.
Prepares Bad Debt Write-Offs as required.
Reconciles member accounts as needed.
Handles multiple tasks and meets deadlines.
Other duties as assigned within scope of practice.
Requirements
Bachelor’s degree in business or related field required.
Equivalent work experience may substitute education requirements.
Detailed understanding of Pharmacy billing/collections practices with all payer types.
Excellent oral and written communication skills communicating effectively with all levels of management.
Strong problem-solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make appropriate and timely decisions.
Consistently uses tact, sensitivity, sound judgement, and a professional attitude.
Knowledge of Microsoft Office Suite, especially Excel, Outlook, and PowerPoint
2 years of pharmacy billing/collections knowledge in a specialty pharmacy setting.
Benefits
Hybrid, remote and flexible on-site work schedules are available, based on the position.
PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program!
Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees.
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