Nationally Certified Pharmacy Billing Specialist

The Pharmacy Billing Specialist is responsible for collecting, posting, and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies. Preparing and submitting clean claims to various insurance companies either electronically or by paper, answering questions from patients clerical staff and insurance companies, identifying and resolving patient billing complaints, preparing reviewing and sending patient statements, evaluating patient’s financial status and establishing budget payment plans, following and reporting the status of delinquent accounts. Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor. Prepares information for the collection agency.Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers. Participating in educational activities and attending monthly staff meetings. Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations.