Billing Specialist

• Complete billing of pharmacy and medical claims and adjudicate rejections
• Manage claim rejections to ensure appropriate follow-up and delivery promise times are met
• Act as liaison between patients and insurance companies
• Facilitate communication between patients, doctors, medical staff, and administrative staff
• Work with payors to resolve billing issues
• Ensure Reliance Rx follows CMS guidelines per Medicare and Medicaid guidance
• Confirm billing accuracy and payor billing/shipping requirements
• Process and set up deliveries to medical offices
• Process medical claims billing for supplies and medications
• Confirm financial aspects of claims before they leave the facility
• Manage the portal, including refill reminders, portal orders, and patient registrations
• Coordinate financial assistance with patients for foundation care, copay assistance, or free medication programs
• Assist Patient Care Specialists with workflow and incoming/outgoing calls
• Maintain patient records and perform filing and documentation duties
• Perform setup and data entry
• Handle financial arrangements and collect co-payments
• Assist offices with prior authorizations
• Coordinate benefits
• Promote information sharing and continuous process improvement
• Follow standard written procedures and guidelines, with deviations approved by the supervising pharmacist

Explore Billing Specialist at Independent Health. Review requirements and application details.