JOB DESCRIPTION
A billing specialist is responsible for assisting pharmacy staff in collecting, posting, and managing account
payments. He/she will proactively initiate and conduct collection activity on all accounts, working closely
with other pharmacy staff regarding the release and delivery of new orders, payment status and collection
efforts. He/she will work continuously to reduce aging receivables.
Pharmacy Billing Specialist Duties:
Performs all billing entry operations.
Posts payments to customer accounts and manages bank deposit reconciliation.
Manages 3rd party and private pay aging accounts efficiently.
Manages billing, pricing, cycling and reporting for Cubex.
Collaborates with long-term care facilities to collect accurate patient insurance and
census information.
Calls insurers, responsible parties and appropriate others to follow up on rejected claims
and garner accurate insurance information.
Ensures the proper billing of Medicaid, Medicare, private pay and 3rd party insurances.
Researches 3rd party discrepancies in a timely manner.
Processes, reviews, and sends out monthly statements efficiently.
Answers all incoming calls related to billing issues.
Resolves all billing issues or forwards to appropriate authority as needed.
Makes collection calls for outstanding invoices.
Provides estimated costs of medications to long-term facility administrators for new admits.
Verifies all insurance information.
Works with pharmacy staff in diagnosing problems to develop solutions to increase productivity.
Maintains strictest confidentiality adhering to all HIPPA Guidelines & Regulations.
Performs other duties and responsibilities as required and/or assigned.