The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, processes and controls in order to ensure revenue integrity. This position responds to and resolves pharmacy billing issues and facilitates charge capture process improvements.
MAJOR CHALLENGES:
1. Process and review large volumes of information on a daily basis with a high level of accuracy.
2. Ability to understand and troubleshoot the multiple complexities of pharmacy charging and billing.
3. Managing multiple priorities and time deadlines efficiently and effectively through ability to work independently while be cognizant of team environment and areas requiring collaboration.
4. Defusing potential conflicts while facilitating and negotiating solutions during first contact communications while maintaining excellent customer service, strong pharmacy network relationships, and strong physician and prescriber relationships.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
HR@insightglobal.com.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:
https://insightglobal.com/workforce-privacy-policy/ .
3 years experience in health care or pharmacy billing, collections or medical claims processing.
Pharm Tech License
3 years experience with computers in data entry/inquiry.
Experience w/ insurance data inquiry systems
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.