Job Information
Specialty Rx, Inc. Billing Representative in Orlando, Florida
Job Description
Our Company
SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. SpecialtyRx takes pride in delivering personalized care and quality pharmacy services.
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 in accordance with the daily report
Maintain and update patient billing and insurance information in the system
Submit prior authorizations for State insurance
Interact with insurance company on daily basis, i.e., overrides, rejections, and insurance updates
Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessary
Follow up and resolved 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 pharmacy
Experience in Long Term Care Pharmacy preferred
Experience in New York Pharmacy billing claims preferred
Must be able to work independently and as a team
Ability to multitask and work in a fast-paced environment a must
Frameworks/ECM knowledge a plus
Must be detail oriented
Company Benefits
We offer a competitive salary and benefit package
EEO Statement, SpecialtyRx, 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 and gender identity or any other status protected by federal, state, or local law.
EO/Minorities/Females/Disabled/Veterans
Requirements