Job Description
• The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, including processes and controls, to ensure revenue integrity for Providence Infusion and Pharmacy Services business lines.
• Responsibility also entails adjudication of infusion and related claim information specific to health insurance benefits and/or Medicare Part D coverage.
• This position collaborates with other PSCS and PH&S departments and roles to respond to and resolve pharmacy billing issues and facilitate charge capture process improvements.
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/.
Required Skills & Experience
• Pharm Tech License
• 2 years' Experience in health care or pharmacy billing, collections, or medical claims processing
• 2 years' Experience as a pharmacy technician in a specialty setting (e.g. Long-Term Care, Infusion or Specialty Pharmacy) or three years pharmacy technician experience in an outpatient pharmacy setting
• 2 years' Experience with computers in data entry
Benefit packages for this role will start on the 31st 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.