Billing Representative (Administrative)

Our Company
SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical servicesto long term care facilities and assisted living communities. SpecialtyRx takes pride in delivering personalized care and quality pharmacy services.

Responsibilities
Perform duties assigned by the Billing SupervisorResearch and establish patient eligibility coverage with insurance providers (state and private)Determine and process insurance rejections in accordance with the daily reportMaintain and update patient billing and insurance information in the systemSubmit prior authorizations for State insuranceInteract with insurance company on daily basis, i.e., overrides, rejections, and insurance updatesInteract with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessaryFollow up and resolved pending billing issues

Qualifications
H.S. diploma or equivalentCourteous and polite phone skillsComputer literateAbility to work nights and weekendsPrevious experience in pharmacyExperience in Long Term Care Pharmacy preferredExperience in New York Pharmacy billing claims preferredMust be able to work independently and as a teamAbility to multitask and work in a fast-paced environment a mustFrameworks/ECM knowledge a plusMust be detail oriented

Company Benefits
We offer a competitive salary and benefit package

EEO Statement, SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans