Pharmacy Billing Specialist

Job Description

Job Description

Required Qualifications :

• 3 years of experience in home care pharmacy / infusion billing preferably in commercial
• Strong Understanding of California DME(Durable Medical Equipment) medical billing
• Experience with HMO, PPO, capitated Payers, medicaid managed care payers
• Experience with 340B guidelines and reg, factor drug billing, compound drug, TPN
• Microsoft, outlook, teams, excel, word

Preferred Qualifications :

Day to Day Responsibilities :

Rady Children's Hospital is looking for 3 Billing and Reimbursement Specialist to join their team to support an upcoming project. The Reimbursement Specialist is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the Reimbursement Specialist to make sure that the claims are clean and delivery tickets are accurate. Additionally this individual is responsible for inputting data into the systems, manually uploading claims, following up with AR and the payer to confirm receipt. Lastly if the claim is denied, the individual is responsible for resolving the issue themselves. This position is a 6 month contract with possible extension M-F 8 : 00am-4 : 30pm and can be done in a hybrid or remote setting. Equipment will be provided.

Interview Process :

6-month contract to hire

Pay : $21-$25 / hour

PST Hours