Billing Specialist I - Apidel Technologies

Description:

Prescreen questionnaire:
Location at the top of the resume
This is a hybrid role, they must be ok with 2 days every other week in office and as needed
Any experience in the healthcare industry
Any billing work experience This is preferred.
Must live within 1 hour of Monroeville, PA site. Required to come in the office Tuesdays and Thursdays (every other week), but willing to come onsite for business needs if that changes.

Role Overview
Schedule: Monday-Friday 8:00AM-4:30PM EST (Flex Start after training)
Hybrid Role
Training: 2-3 weeks of training
What you will do
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.

Required Qualifications
1%2B year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
Must live within a 1 hour commute to the Monroeville, PA office.

Preferred Qualifications
Billing/Collections experience.
Customer service in healthcare environment.
Experience working with a healthcare reimbursement system.
Ability to communicate with clientele in a professional manner; both verbally and written.
Attention to detail.

Ability to utilize analytical skills.
Effective customer service skills and experience that shows ability to work in a team environment.
Experience in MS Office, specifically Excel, Outlook, and Word.

Duties
What you will do
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.

Experience
Required Qualifications
1%2B year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
Must live within a 1 hour commute to the Monroeville, PA office.
Preferred Qualifications

Billing/Collections experience.
Customer service in healthcare environment.
Experience working with a healthcare reimbursement system.
Ability to communicate with clientele in a professional manner; both verbally and written.
Attention to detail.
Ability to utilize analytical skills.
Effective customer service skills and experience that shows ability to work in a team environment.
Experience in MS Office, specifically Excel, Outlook, and Word.

Position Summary
Role Overview
Schedule: Monday-Friday 8:00AM-4:30PM EST (Flex Start after training)

Hybrid Role
Training: 2-3 weeks of training
What you will do
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.

Required Qualifications
1%2B year(s) experience performing healthcare reimbursement, medical insurance billing, collections, or related work.
Must live within a 1 hour commute to the Monroeville, PA office.

Preferred Qualifications
Billing/Collections experience.
Customer service in healthcare environment.
Experience working with a healthcare reimbursement system.
Ability to communicate with clientele in a professional manner; both verbally and written.
Attention to detail.
Ability to utilize analytical skills.
Effective customer service skills and experience that shows ability to work in a team environment.
Experience in MS Office, specifically Excel, Outlook, and Word.

Education
Verifiable High School diploma or GED is required.
What days & hours will the person work in this position List training hours, if different.
Mon-Fri 8:00-4:30 (flex start after training) hybrid