Open role
Remote Billing Representative_Third Party
SpecialtyRx is a full-service pharmacy. We need Remote Billing Representative with Third Party Rejections experience in our Ridgefield Park, NJ location.
Must have experience with LTC Pharmacy Third Party Billing Rejections
Hours we are Flexible:
8am - 4pm
9am - 5pm
11am - 7pm
12pm - 8pm
3pm - 11pm
4pm - 12am
Must be able to train for 3 weeks onsite Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch Billing Representative 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 by the daily report.
- Maintain and update patient billing and insurance information in the system.
- Submit prior authorizations for State insurance.
- Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
- Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
- Follow up and resolved pending billing issues.
- H.S. diploma or equivalent.
- Courteous and polite phone skills.
- Computer literate.
- Ability to work nights and weekends.
- Previous experience in Retail pharmacy is a must.
- Previous experience in Third Party Rejections Billing is a must.
- Experience in Long Term Care Pharmacy. (Preferred)
- Must be able to work independently and as a team.
- The ability to multitask and work in a fast-paced environment is a must.
- Experience in New York Pharmacy billing claims. (Preferred)
- Frameworks/ECM knowledge is a plus.
- Must be detail-oriented.
High school diploma or equivalent; retail pharmacy and third-party rejection billing experience required. Long-term care or New York pharmacy billing preferred; computer literacy and flexible schedule required.
Key Responsibilities
- researching eligibility
- processing rejections
- updating information
Skills & Tools
ECM
Job Details
- Category: Business Operations
- Seniority: No Prior Experience Required
- Commitment: Full Time
- Workplace: Remote — Ridgefield Park, New Jersey, United States
- Salary: USD 39,520 – 45,760 / year
- Languages: English
About SpecialtyRx
A full-service pharmacy providing pharmacy billing and insurance support. — Industry: Healthcare