Pharmacy/Medical Biller-Remote Jobs

Orsini Specialty Pharmacy is a nationwide specialty pharmacy focused on providing exceptional care to patients throughout their journey. We focus on disease programs that require a high-touch patient experience and provide those we care for genuine empathy and compassion as part of our service delivery.
POSITION SUMMARY
The Medical Biller will ensure proper and efficient billing to all Major Medical payers for Home Infusion and Specialty product lines. The biller will also ensure the accuracy of their work and ensures that performance goals are met. They will also assist with problem solving issues with high dollar AR accounts, and adhere to regulatory and payer guidelines for billing. Interfaces with a variety of internal and external customers to ensure the best patient experience in the most efficient manner. Ensures that all HIPAA, policies/procedures and compliance requirements are met within the role. Initial training for this role will be onsite - local candidates preferred.
REQUIRED KNOWLEDGE, SKILLS & TRAINING

• Excellent internal and external customer service skills.
• Previous pharmacy, home infusion, and specialty pharmacy drug billing strongly preferred.
• Knowledge of adjudicating claims and process
• Minimum one year relevant experience required.
• Ability to prioritize workload.
• High School Diploma or equivalent from accredited school required
• Proficiency with Microsoft Office (Word, Excel).
• Ability to work in fast-paced environment.
• Must be extremely detail oriented.

ESSENSTIAL JOB DUTIES

• Correctly determine quantities and prices for nursing services.
• Ensure all required documentation for billing is completed and accurate prior to claim submission.
• Adhere to Regulatory/Payor Guidelines and policies/procedures.
• Submit timely, accurate invoices to payer for products and services provided.
• Verify services and products are correctly authorized and that required documentation is on file prior to billing.
• Ensure invoices are submitted for services and products that are properly ordered and confirmed as provided.

EMPLOYEE BENEFITS

• 401k
• Accident & Critical Illness
• EyeMed Vision
• Life Insurance
• PTO, Holiday Pay, and Floating Holidays
• BCBSIL Medical
• Tuition Reimbursement
• Delta Dental