Insight Global is seeking a Pharmacy Billing Specialist to join one of our large PBM clients. This individual will be responsible for providing high quality customer service and accounts receivable management. This individual will be trained on all of the duties and responsibilities of the role. After trining, the individual will be taking inbound call and outbound calls to MDO, patients, PBMs, sending requests to MDO for prior authorization, etc. They will also be tasked with processing test claims in the system and working on rejections.
Primary job responsibilities include the following:
-Post all credit and debit adjustments to patient accounts
-Follow-up on outstanding patient account balances
-Perform collections duties on past due patient accounts to obtain payment or setup payment arrangements
-Handle all correspondence related to insurance and patient accounts, contact insurance carriers, patients and other parties as needed to get maximum payment on accounts
-Research and resolve accounts as directed by management, making appropriate decisions on accounts to be worked to maximize reimbursement
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, 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
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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.