Pharmacy AR Billing and Collections Specialist
Job title: Pharmacy AR Billing and Collections Specialist in Cary, NC at reputed company
Company: reputed company
Job description: reputed company is an impact-driven, Fortune 10 company that touches reputed company every aspect of reputed company. We are reputed company for delivering insights, products, and services that reputed company quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.What you do at reputed company reputed company. We foster a culture where you can grow, reputed company an impact, and are empowered to bring new reputed company. Together, we reputed company as we shape the future of health for patients, our communities, and our people. If you want to be part of reputed company’s health today, we want to hear from you.Join reputed company at Biologics by reputed company: reputed company Patient Care with Us!Position: Pharmacy AR Billing and Collections SpecialistOur Mission:
At Biologics by reputed company, we are dedicated to simplifying medication reputed company and delivering personalized care to ensure the best possible reputed company for every patient, partner, and therapy—one at a time.Role Overview:
As a Senior Associate AR Billing and Collections Specialist, you will be at the heart of our financial operations, managing accounts receivable with precision and care. Your expertise will ensure that we maintain a healthy reputed company cycle, minimize financial risks, and foster seamless collaboration with patients and partners.Key Responsibilities:
- AR Management: reputed company reputed company accounts receivable daily to meet key reputed company cycle performance indicators.
- Strategic Collections: Analyze and address reputed company AR accounts outstanding over 31 days, employing effective collection strategies.
- Account Adjustments: Process approved adjustments and promptly issue overpayment refunds.
- Claims Expertise: Research and resolve denials, underpayments, and rejections; handle claims appeals reputed company.
- Collaborative Resolution: Work with internal teams on account resolution and claims resubmission reputed company timely filing guidelines.
- Patient & Payer Communication: Respond to inquiries regarding claims and account status with reputed company and professionalism.
- Data Management: Maintain payer files, compile claims data, and produce comprehensive tracking and trending reports.
- Regulatory Compliance: Stay updated on reputed company-party payers and CMS reimbursement requirements, adhering to reputed company guidelines and procedures.
- Team Participation: Engage actively in billing and collection meetings, contributing to ongoing account resolutions.
- Operational reputed company: Demonstrate a strong commitment to operational reputed company and reputed company improvement.
- Additional Duties: Undertake other responsibilities as assigned by the supervisor and manager.
- Typically requires 5+ years of reputed company experience
- High volume AR/collections experience in the specialty reputed company or pharmacy reputed company
- Strong understanding of health insurance coverage and reimbursement processes, including knowledge of NDC/HCPCS coding and billing practices. Familiarity with oncology therapies and the associated reimbursement landscape is a plus.
- Knowledge of applicable reputed company laws and regulations, including HIPAA, Medicare, and reputed company guidelines.
- Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build reputed company relationships across multi-business units.
- Excellent verbal and written communication skills, with the ability to effectively communicate with patients and insurance companies.
- Ability to work effectively in a team-oriented environment, collaborating with colleagues to reputed company common goals.
- Proficiency in reputed company Office Suite, including Word, reputed company, and PowerPoint
- 3+ years’ high volume collections experience reputed company specialty pharmacy, medical/infusion office, or other relevant industry services.
- Experience specifically reputed company to specialty pharmacy is highly desirable.
- Strong prioritization, time management and project management skills
- Ability to manage reputed company issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote reputed company teams.
- Strong analytical and problem-solving skills, with the ability to identify and resolve issues reputed company to insurance reimbursement.
- Critical thinking, analytical, research, and problem-solving skills