Pharmacy Billing Representative

Pharmacy Billing Representative

Pay Rate: $19.50 / hour

FLSA Status: Non-Exempt

Work Location: Hybrid (Must live within 1 hour of Monroeville, PA)

Safety Sensitive Position: Yes

About the Role

We are seeking a detail-oriented Pharmacy Billing Representative to join our team in a hybrid capacity. In this role, you will play a critical part in ensuring timely and accurate billing for unbilled claims while securing payments on outstanding balances. You will serve as a key point of contact, delivering exceptional customer service to patients, healthcare professionals, and insurance carriers.

Key Responsibilities

• Claims & Billing Resolution: Process unbilled claims efficiently and pursue outstanding balances to ensure accurate, compliant billing practices.

• Multi-System Navigation: Utilize multiple operating systems and web-based applications to retrieve document images, gather fill documentation, and work complex claims through to complete resolution.

• Customer & Carrier Communication: Deliver clear, professional, and courteous service when speaking with patients, insurance carriers, and healthcare providers.

• Task Management: Prioritize daily workloads effectively to meet department goals and billing timelines.

Key Requirements & Qualifications

Minimum Qualifications:

• Experience: At least 1 year of hands-on experience in healthcare reimbursement, medical insurance/billing, or closely related work.

• System Knowledge: At least 1 year of experience navigating healthcare reimbursement systems.

• Location Constraint: Must reside within a 1-hour drive of Monroeville, PA .

• Technical Skills: Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and comfort learning proprietary web-based platforms.

• Medical Knowledge: Working knowledge of basic medical terminology.

• Soft Skills: Strong customer service orientation, attention to detail, and a collaborative team mindset.

Work Environment & Interview Details

• Hybrid Schedule: Position offers potential work-from-home flexibility based on performance and business needs, but candidates must be located within 1 hour of the Monroeville, PA office.

• Interview Process: Initial interviews will be conducted virtually via Microsoft Teams video conference .

How to Apply

If you meet the 1-year healthcare billing/reimbursement experience requirements and live within 1 hour of Monroeville, PA, please submit your updated resume for consideration.

Pay Details: $19.50 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.