​PHARMACY BILLER RECONCILIATION SPECIALIST - LA BUSINESS MANAGEMENT SERVICES, LLC

PHARMACY BILLER RECONCILIATION SPECIALIST 

Overview

: We are currently looking for a detail-oriented payment poster and reconciliation specialist to join our team. The ideal candidate will have a background in pharmacy billing, and payment posting and reconciliation. You will play a crucial role in ensuring accurate payment for services rendered and maintaining financial records   

What you will do 

• Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer. 

• Transmit or submit claims (paper/electronic) to payors for reimbursement and reconciliations. 

• Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.

 • Review payments received via check and research ability to convert to EFT

 • Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. • Research and respond to payors regarding billing issues or recovery payments that are outstanding

. • Assist in responding to audits from insurance companies. • Identify possible low payments based on trends and history 

• Perform other duties as assigned by Supervisor 

Preferred Qualifications: 

 • Previous experience in Pharmacy billing, specifically in payment posting, reconciliation, or related roles

 • Experience using Microsoft Office products’ specifically Excel, Outlook, and Word 

• Insurance billing or collections experience. 

• Customer service in a healthcare environment. • Experience working in a healthcare reimbursement system

. • Effective customer service skills and experience that shows ability to work in a team environment

. • Attention to detail. • Ability to utilize analytical skills. 

• Ability to communicate with clientele in a professional manner; both verbally and written.

 • Strong attention to detail and accuracy in financial data entry. 

• Must be familiar with Insurance Bins and Pcn insurance Billing. 

Skills and Competencies: 

• Must possess the ability to communicate with people at all levels of the organization and external agencies. 

• Must be very savvy with Microsoft products and capable of learning new software 

• Must be able to create reports summarizing information using tables, charts, and/or graphs

 • Must be open, agreeable, and professional when gathering and referring information to the appropriate member of the team. 

• Must have the ability to work alone but also in a team, with fellow staff, in the business setting. Must possess good time management skills

 Job Type: 

Full-time Expected hours: 40 per week Schedule: 

 Benefits: 

• Health insurance • Paid time off Work setting:

 • Office Education and Experience Requirements 

• High School Diploma or Graduation Equivalent Diploma (G.E.D)

 • Prior experience in a pharmacy or healthcare company.