Billing Specialist I in Monroeville, PA at APEX Systems

Date Posted: 5/23/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    5/23/2018

Job Description

Job #:  842106

Apex Systems, the nation's 2nd largest IT Staffing Firm, is supporting an opportunity for Billing Specialist for our pharmaceutical cIient in Monroeville, PA. This 3+ Month Contract opportunity offers competitive pay along with benefits. If interested, please send your updated resume and best method of contact to Lauren at larmstrong@apexsystems.com.  

Job Description: The primary responsibilities of a Collections Representative is to ensure timely and accurate account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

  • Responsible for all third party billing and follow-up associated with the dispensing of prescription medication; maintain supporting chronological notes that detail action taken to resolve outstanding account balances
  • Maintains patient demographic information and data collection systems
  • Work all billing/collection reports, queues, or diversions according to payer and company policy guidelines
  • Researches and responds by telephone, via the Internet and in writing to insurance companies and governmental payers regarding billing issues and problems
  • Follows up on submitted claims; monitors unpaid claims, initiates appeals and resubmits claims as necessary
  • Transmit or submit claims (paper, electronic) to insurance payers for reimbursement
  • Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors
  • Provide detailed follow up with patients and payers in the form of, but not limited to phone calls, fax transmittal's and e-mails
  • Contact patients and Physicians offices as needed in order to expedite claims processing
  • Obtain accurate demographic, insurance and financial information from patients to ensure all account information is accurate

Experience:

  • 1+ year of medical 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.