[Hiring] Billing Representative @SpecialtyRx

Role Description

SpecialtyRx is seeking a Remote Billing Representative with Third Party Rejections experience for our Ridgefield Park, NJ location.

Responsibilities include:

• 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 daily regarding overrides, rejections, and insurance updates.
• Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
• Follow up and resolve pending billing issues.

Qualifications

• 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.

Requirements

Must be able to train for 3 weeks onsite.

Hours are flexible:

• 8am - 4pm
• 9am - 5pm
• 11am - 7pm
• 12pm - 8pm
• 3pm - 11pm
• 4pm - 12am

Benefits

Please apply here: Apply Now

Company Description

Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard 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