Medical Billing Specialist II

ONSITE: Monroeville, PA -ONSITE -LOCAL CANDIDATES ONLY
Must be within 1 hour from Monroeville PA.

M-F 8:30am-5pm

Billing Specialist I will be responsible for ensuring the timely submission of pharmacy benefit claims. In order to achieve this, the Billing Specialist will be responsible in communicating with varies different payers and insurance processors to resolve accounts receivable claims for reimbursement.

Third Party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
Maintain patient demographic information in data collections systems.
Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
Research and respond by telephone, via the internet and in writing to patients, physician’s offices, insurance companies and governmental payers regarding billing issues and problems as well to expedite claims processing.

Requirements:

• 2 years experience performing healthcare reimbursement, pharmacy insurance/billing or related work
• Minimum 2 years experience working with healthcare reimbursement systems.
• Ability to prioritize daily tasks.
• Working knowledge of medical terminology.
• Customer service skills with the ability to work in a team environment.
• Experience in MS Word, Excel and Outlook.

Job Types: Full-time, Contract, Temporary

Pay: $19.00 per hour

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Medical Billing & Coding: 2 years (Preferred)
• Microsoft Excel: 2 years (Preferred)
• Strong Data Entry: 2 years (Preferred)
• Insurance Billing: 2 years (Preferred)
• Medical Reimbursement: 2 years (Preferred)

Ability to Commute:

• Monroeville, PA (Required)

Work Location: In person