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Remote Billing Representative_Third Party

Specialty Rx, Inc.

Ridgefield Park, NJRemoteFull-time$19–22/hrTracked 1w agoSeen in employer's feed 4 days ago
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At a glance

Compensation
$19–22/hr
Location
Ridgefield Park, NJRemote
Schedule
Full-time
Work Authorization
Not specified

Job overview

Specialty Rx, Inc. is hiring a Remote Billing Representative_Third Party. SpecialtyRx seeks a Remote Billing Representative with third‑party rejection experience to support its Ridgefield Park, NJ location, offering flexible shift options and a three‑week onsite training period.

Key focus areas include Perform duties assigned by the Billing Supervisor, Research and establish patient eligibility coverage with insurance providers, and Determine and process insurance rejections by the daily report.

Important skills include Phone Skills, Computer Literacy, Multitasking, Detail Oriented, and Frameworks/ECM Knowledge.

Skills & qualifications

RequiredNice to have

Skills

Phone SkillsComputer LiteracyMultitaskingDetail OrientedFrameworks/ECM Knowledge

Qualifications

High School Diploma or EquivalentExperience With LTC Pharmacy Third Party Billing RejectionsRetail Pharmacy ExperienceThird Party Rejections Billing ExperienceLong Term Care Pharmacy ExperienceNew York Pharmacy Billing Claims ExperienceAbility to Work Nights and WeekendsAbility to Work Independently and as a Team

Full job description

Remote Billing Representative_Third Party

Show All Jobs Apply

  • Location Remote - NJ, United States

  • Base Pay $19.00 - $22.00 / Hour

  • Job Category #billing, #thirdparty, #pharmacytechnician

  • Industry #longtermcare , #retail, #rejections

  • Employee Type Full Time

  • Required Degree High school

Contact information

Description

SpecialtyRx is a full-service pharmacy. We needRemote Billing Representative with Third Party Rejectionsexperience 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 herehttps://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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