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Senior Reimbursement Specialist - Remote
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Job Description
- Req#: 149173
Employer Industry: Pharmacy Services
Why consider this job opportunity:
- Fully remote position with a flexible schedule, Monday-Friday, day shift
- Generous benefits package including medical, dental, vision, life insurance, and retirement options
- Opportunity for career advancement through ongoing training and development
- Competitive pay structure with considerations for skills, experience, and market conditions
- Supportive work environment focused on customer service and teamwork
What to Expect (Job Responsibilities):
- Manage day-to-day functions of assigned accounts, ensuring accurate billing and collections
- Analyze accounts for documentation, authorization, and necessary information to determine next steps
- Provide superior customer service to internal and external customers, both in person and over the phone
- Process third-party and patient remittances, including posting payments and adjustments
- Generate and monitor aging reports to ensure timely collections
What is Required (Qualifications):
- High School Diploma or GED
- 3 to 5 years of medical billing or collection experience, specifically with Medicare and Medicaid
- Proficient in the English language and possess strong math skills
- Proficiency with PC software and A/R systems, including basic typing skills
- Ability to communicate clearly and effectively, both in writing and verbally
How to Stand Out (Preferred Qualifications):
- Vocational training or technical training related to medical billing
- Associate degree or certification in medical billing
- 5 or more years of Medicare billing and collections experience, particularly for home infusion
- Knowledge of pharmacy processes and procedures
- Certification as a Pharmacy Technician
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