Medical Biller

Job Title: Medical Biller

Location: Arlington, TX 76010

Shift: Monday - Friday 9:00 am - 5:30 pm

Pay: $18-$20

Job Description:

Act as a resource to the facilities in obtaining information completing necessary documentation or following

up on outstanding claims.

Individual with an understanding of Insurance and Medicaid formularies and processes including the prior

authorization processes.

Makes outgoing calls to Facilities, Plans, and Physician’s offices as needed to obtain approvals

Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to

effectively communicate and resolve customer issues.

Performs other tasks as assigned.

Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical

Hub Manager.

Provide clinical support to members of the Rx Allow team regarding prior authorization concerns /

submissions.

Conducts job responsibilities in accordance with the standards set out in the Company’s code of Business

Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal

and State Laws, and applicable professional standards.

Familiar with the claim adjudication process.

Develop a strong understanding of the insurance verification, adjudication, back-end billing process and

become a subject matter expert on the insurance queues and billing workflow.

Prioritize work to meet daily and competing deadlines.

Proficiency in Microsoft Office programs.

Education/Learning Experience

Required: High School Diploma, Associates Degree

Desired: Certified Pharmacy Technician or Medical Assistant Certification

Desired: Bachelor’s Degree

Work Experience

Required: Third Party Medical Billing Experience

Required: EMAR System Knowledge

Desired: 1-3 Years Pharmacy Experience

Desired: 3 Years Call Center Experience

Job Type: Contract

Pay: $18.00 - $20.00 per hour

Schedule:

• Day shift
• Monday to Friday

Work Location: In person

Salary : $18 - $20