2 Specialty Billing Technician Jobs in WASHINGTON, DC
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Walgreens is Hiring a Specialty Billing Technician Near WASHINGTON, DC
Job Responsibilities (listed in order of importance and/or time spent)
- Submit timely, accurate invoices to payer for products and services provided.
- Correctly determine quantities and prices for products and services billed.
- Verify services and products are correctly authorized and required documentation is on file.
- Ensure all Medicare documentation is received from the medical provider and submitted to Danville.
- Review reports to maximize generic substitution opportunities.
- Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
- Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing).
- Process reimbursement checks/payment in accordance with policy.
- Review price modify logs and ensure there are corresponding SDL (submit direct link) claims.
- Review, research and resolve all third party chargebacks in a timely manner.
- Assist with any third party audits, in accordance with company policy.
- Process and file all SDL (submit direct link) claims in accordance with company policy.
- Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities.
- Responsible for proactive communication to patients and providers regarding referral/prescription status.
- Responsible for maintaining a deep understanding of and assisting patients with assistance programs enrollment, such as Chronic Disease Fund, confirming patient eligibility and all required reporting and documentation.
- Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians and third party payers.
- Maintains subject matter expertise pertaining to all external billing practices including but not limited to third party adjudications, prior authorization, and patient financial assistance programs in order to coach pharmacy technicians and other support staff.
Qualifications:
- High School Diploma or equivalent.
- Pharmacy Technician license, in states where required.
- Maintains PTCB or ExCPT certification through the designated PTCB or ExCPT training program and/or state required certification/registration.
- Experience communicating both verbally (on phone, one-on-one, to groups) and in writing (emails, letters, reports, presentations) to various audiences (work group, team, company management, prospective acquisitions, external clients).
- Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Job Summary
Full Time
Ancillary Healthcare
09/22/2023
12/19/2023
walgreens.com
CHARLOTTE, NC
>50,000
1901
Private
STEPHANIE HENRY
$5B - $10B
Ancillary Healthcare
Related Companies
About Walgreens
Walgreens is an online and in-store retailer of personal care and pharmaceutical supplements.
The job skills required for Specialty Billing Technician include Billing, etc. Having related job skills and expertise will give you an advantage when applying to be a Specialty Billing Technician. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Specialty Billing Technician. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Specialty Billing Technician positions, which can be used as a reference in future career path planning. As a Specialty Billing Technician, it can be promoted into senior positions as a Billing Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Specialty Billing Technician. You can explore the career advancement for a Specialty Billing Technician below and select your interested title to get hiring information.
