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Medical Billing Specialist - Work From Home

About the Employer
  • A-Line Staffing Solutions
hourly Salary
$17.50 - $17.50

Job Description

A-Line Staffing Solutions is hiring a full-time Remote Medical Billing Coordinator for a contract to hire position with a major pharmaceutical company! Job details below:

  • 100% Work From Home
  • Offers: $17.50per hour+ Health benefits after 90 days
  • Contract with potential to convert to permanent
  • Send Resume to: CDiaz @alinestaffing. com for immediate response. - Cinthia Diaz

DUTIES:

  • Inbound Phone Queue/General Program Inquires
  • Determination for support programs (Copay, PAP, Medicaid, etc.)
  • Pharmacy triage and coordination
  • Order processing for wholesale orders
  • Other follow-up activities (missing info, prior authorization, etc.)
  • Intakes and reports adverse events as directed.
  • Researches and resolves any claim denials or underpayment of claims.
  • Effectively utilizes various means for collecting information using approved methods, which could include phone, fax, mail, and online methods.
  • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
  • Reports any trends or delays to program management (e.g. billing denials, claim denials, pricing errors, payments, etc.)
  • Ensures all program correspondence and communication (phone, fax, mail, etc) meets quality standards.
  • Works with patient, provider and or internal shared services to ensure all necessary documentation is received and complete in accordance with program policy.
  • Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
  • Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.
  • Performs related duties as assigned.

Requirements:

  • GED or HS Diploma
  • Previous Medical Billing or Pharmacy experience
  • Strong time management, organizational skills, initiative, professional demeanor and positive attitude
  • Ability to communicate effectively both orally and in writing.
  • Working knowledge of Microsoft Office Suite including Word, Excel, Access and Outlook.

EOB, medical billing, insurance verification, benefits eligibility, PBM, Patient care coordinator, Medical Claims

Company
A-Line Staffing Solutions
Medical Billing Specialist - Work From Home

Tags: healthcare