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Remote Billing Representative - Third Party

SpecialtyRxRidgefield Park, NJ

$19 - $23 / hour

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Overview

Remote
On-site
Compensation
$19-$23/hour

Job Description

SpecialtyRx is a full-service pharmacy. We need Remote Billing Representative with Third Party Rejections experience in our Ridgefield Park, NJ location.
Must have experience with LTC Pharmacy Third Party Billing Rejections.
Hours we are Flexible:
  • 8am- 4pm.
  • 9am- 5pm.
  • 11am- 7pm.
  • 12pm- 8pm.
  • 3pm- 11pm.
  • 4pm- 12am.
Must be able to train for 3 weeks onsite. 
Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch .
Billing Representative Responsibilities:
  • Perform duties assigned by the Billing Supervisor.
  • Research and establish patient eligibility coverage with insurance providers (state and private).
  • Determine and process insurance rejections by the daily report.
  • Maintain and update patient billing and insurance information in the system.
  • Submit prior authorizations for State insurance.
  • Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.
  • Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.
  • Follow up and resolved pending billing issues.
Billing Pharmacy Representative Requirements:
  • H.S. diploma or equivalent.
  • Courteous and polite phone skills.
  • Computer literate.
  • Ability to work nights and weekends.
  • Previous experience in Retail pharmacy is a must.
  • Previous experience in Third Party Rejections Billing is a must.
  • Experience in Long Term Care Pharmacy. (Preferred).
  • Must be able to work independently and as a team.
  • The ability to multitask and work in a fast-paced environment is a must.
  • Experience in New York Pharmacy billing claims. (Preferred).
  • Frameworks/ECM knowledge is a plus.
  • Must be detail-oriented.
EEO Statement:
Specialty Rx, 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, gender identity, or any other status protected by federal, state, or local law.EO/Minorities/Females/Disabled/Veterans

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FAQs About Remote Billing Representative - Third Party Jobs at SpecialtyRx

What is the work location for this position at SpecialtyRx?
This job at SpecialtyRx is located in Ridgefield Park, NJ, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at SpecialtyRx?
Candidates can expect a pay range of $19–$23 per hour for this role.
What employment applies to this position at SpecialtyRx?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at SpecialtyRx?
You can apply for this role at SpecialtyRx either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.