Billing and Insurance Specialist I

Description

As we continue to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy team.

About Ardon Health

At Ardon, we are passionate about our mission to inspire people and improve lives through the delivery of high-quality, compassionate healthcare services. Our innovative work environment in Portland, Oregon, centers around uplifting collaboration with our employees as we care for patients. Our commitment to cultivating talent and fostering growth within our organization keeps Ardon ranked among the top 100 companies to work for in Oregon.

*Recognized as a Top Workplace by the Oregonian in 2021, 2022, 2023 and 2024*

Our specialty pharmacy

Our state-of-the-art specialty pharmacy provides medications that are often used to treat complex or rare conditions. We deliver services to enhance the patient experience within the comfort of their home. We remove barriers to care and provide patients with the education, clinical care and supportive services they need on their treatment journey. We work to build trusted relationships and to be a resource where patients can turn for help.

What It’s Like To Work With Our Team

Our progressive work environment embodies the notion that life is meant to be shared and lived well, through hard work, compassion, and camaraderie. Together, we enjoy team meals and celebrate events and company milestones. Employees like to relax in our lounge equipped with amenities that promote wellness and fun. We volunteer to support patient advocacy organizations within our community. Our employee-run DEI Group is dedicated to diversity and inclusion.

To learn more about our team and what we do, watch our video at https://vimeo.com/320864889.

Join us!

Do you want a dynamic career opportunity where you can make a difference? Explore the potential of your pharmacy experience in an elevated role.

We are recruiting a Billing & Insurance Specialist to join our team of health care professionals. As a Billing & Insurance Team member, you will conduct insurance reviews, process prescription claims, and communicate with benefit providers, patients, and healthcare offices.

Job type: Full-time (on-site)

Pay Range: $25.08 - $31.35 depending on experience. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Benefits

• Competitive pay
• Flexible PTO and paid company holidays
• Medical, dental, vision, disability and life insurance
• 401K match
  
  

Position Responsibilities

• Performs insurance reviews for prescribed medications and submits insurance claims
• Reviews, interprets, and resolves insurance claim rejections
• Initiates requests for prior authorizations
• Communicates prescription statuses to patients and providers
• Connects patients with financial support options such as copay assistance programs
• Processes patient payments
• Provides inbound phone support for benefit providers, patients, and healthcare offices
  
  

Required Skills

• High school diploma or GED
• Active Oregon Pharmacy Technician License. A Certified Oregon Pharmacy Technician License will be required prior to expiration of existing Oregon licensure or as required by the Oregon Board of Pharmacy.
  
  

Our Ideal Candidate Has

• Strong communication and interpersonal skills.
• Ability to effectively collaborate in a team setting.
• Proficiency in standard workplace software and/or information management applications.
• Prior experience working in a pharmacy or healthcare setting.
• Ability to navigate computer applications.
• Ability to work in a fast-paced environment.
• Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection.
• Prior experience working with physicians, nurses, or other healthcare professionals.
  
  

Ardon Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual identification or orientation, national origin, marital status, disability, veteran status, or any other status protected by law.