Pharmacy Billing Coordinator

  • Altamonte Springs, FL, USA
  • Full-time

Company Description

Here at CiNQ Recruitment, we believe in finding the right fit, for you and our clients. Whether you seek long-term employment solutions for your business or your next career move, we understand the importance of individual and business needs. With over 30 years of successful staffing and recruiting experience, we excel at providing passive candidates with the right skills and cultural fit for specialized positions. Here is the opportunity to work with an exciting pharmaceutical company.

Job Description

Full Time with benefits

Monday thru Friday; 8 hours

Pay: $17-$19/hr

Position Summary:

Responsible for the admit process and determining if a patient is qualified to be enrolled and/or on-boarded. Oversight and participation in all aspects of patients billing functions.

Essential Functions: (*Note – Not all listed duties will be required to accomplish during employment, depending on your work function within the billing process)

· Run batch billing and review all payable and rejected claims

· Review of payable claims, for accuracy

· Obtain PA dates, complete BAP assessment, and admit the patient

· Review rejected claims and follow rejection process to ensure claims have been run correctly

· Participation in collection activities and accounts receivables procedures

Competency:

· Knowledge of standard medical terminology

· Knowledge of how to read pharmacy claims

· Ability to handle challenging patients/vendors in a professional manner

· Ability to learn quickly, solve problems, and make decisions to assist our patients

· Demonstrate excellent verbal, presentation, and written communication skills

· Demonstrate proficiency in the use of MS Office software; which includes Excel, Word and Outlook

· Demonstrate C.A.R.T. values;

o Competence

o Accountability

o Respect

o Trust

Education/Experience Requirements:

· High School diploma or equivalency diploma, from a Department of Education accredited school

· Some jurisdictions may require 3 years of experience in benefit investigation, Medicaid, Medicare (understanding the difference of part C and part D drugs)

· 1 year of pharmacy billing experience required

· Knowledge of Specialty Drugs, including what they are used for, is strongly preferred

· Working knowledge of DUR codes, submission clarification codes and unit of measure codes strongly preferred

· Knowledge of CPR+ preferred

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Additional Information

All your information will be kept confidential according to EEO guidelines.