Billing Specialist - Collections Specialist - Apidel Technologies
Monroeville, PA 15146
About the Job
Questionnaire top of resume:
City, state at top of resume
How much collections experience do they have
Collections Specialist will be responsible for reviewing denials, underpayments, follow up claims to all insurances including Medicaid for all states. Individual must work with internal personal and external operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Minimum 1 year 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.
Duties
Collections Specialist will be responsible for reviewing denials, underpayments, follow up claims to all insurances including Medicaid for all states. Individual must work with internal personal and external operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Experience
Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Entry level position; 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast paced, rapidly changing environment Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.
Position Summary
Collections Specialist will be responsible for reviewing denials, underpayments, follow up claims to all insurances including Medicaid for all states. Individual must work with internal personal and external operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.
Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. Minimum 1 year 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.
Education
Verifiable High School diploma or GED is required.
What days & hours will the person work in this position List training hours, if different.
Monday thru Friday 8:00am to 4:30 PM - hybrid (goes into office 4 days a month, scheduled on calenda