Job Description

Work location may be hybrid with the potential to have some time at home based on performance and business need.

Position Summary
Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, client pharmacy 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.

The Pharmacy Billing Representative will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.
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.

Duties
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.

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.

Education
Verifiable High School diploma or GED is required.

Notes:
Monday-Friday 8am to 4 : 30pm
Hybrid - Work location may be hybrid with the potential to have some time at home based on performance and business need.

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

Job Tags

Monday to Friday

Similar Jobs