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Specialist Revenue Cycle Management - Remote

Walgreens

Orlando, FLJob$15–37.5/hrSeen todaySeen in employer's feed today

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At a glance

Compensation
$15–37.5/hr
Location
Orlando, FL
Work Authorization
Not specified

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Job overview

The Specialist Revenue Cycle Management performs basic transactional processes, including billing entry, routine reporting, and handling a larger volume of transactions with accuracy. The role may assist senior specialists with more complex work. A high school diploma or GED, or an equivalent combination of education and relevant work experience, is listed as a basic qualification; several revenue-cycle and communication competencies are preferred.

Skills & qualifications

RequiredNice to have

Skills

Collections ProcessesMicrosoft Office SuiteAttention to DetailCustomer ServiceWritten CommunicationVerbal CommunicationPrioritizationMultitaskingMedical Versus Pharmacy Benefit BillingSpecialty Drug ReimbursementHCPCS/J-Code BillingNDC BillingUnits of ServiceModifiersDrug-Specific Reimbursement GuidelinesPrior AuthorizationMedical Necessity RequirementsCommercial Payer PlansBlueCardMedicareMedical Insurance ProgramsHigh-Dollar Claim ResolutionUnderpayment ResolutionRecoupment ResolutionComplex Denial Resolution

Qualifications

High School Diploma or GED or Equivalent Education and Experience

Full job description

Job Summary:

Responsible for performing transactional processes and transactions of basic complexity.

Job Responsibilities:

  • Processes billing transactions and enters them into a computerized system.

  • Follows processes and performs transactions with a high degree of accuracy.

  • Handles a larger volume of basic transactions.

  • Helps run basic reports following routine processes.

  • May assist more senior specialists in processing more complex transactions and work.

  • Other responsibilities as judgement or necessity dictates.

About Walgreens

Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

Basic Qualifications

  • High school diploma from accredited school or equivalent GED; or equivalent combination of education and/or relevant work experience.

Preferred Qualifications

  • Knowledge of collections processes

  • Proficient skill level Microsoft Office Suite (Word, Excel, PowerPoint)

  • Strong attention to detail

  • Commitment to excellent customer service

  • Excellent written and verbal communication abilities

  • Ability to prioritize and manager multiple responsibilities.

  • Medical benefit versus pharmacy benefit billing.

  • Specialty drug reimbursement and HCPCS/J-code billing.

  • NDC billing, units of service, modifiers, and drug-specific reimbursement guidelines.

  • Prior authorization and medical necessity requirements.

  • Commercial payer plans, BlueCard, Medicare, and other medical insurance programs.

  • High-dollar claim resolution, underpayments, recoupments, and complex denials.

We will consider employment of qualified applicants with arrest and conviction records.

An employee in this position can expect an hourly rate between $15.00 to $37.50. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law. This job posting will remain open for 5 days from the job posting date. To review benefits, please click here job.walgreens.com/benefits. If you are applying on a job board or unable to click to the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits.

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