Billing Specialist I - Billing / Copay Specialist

Job Title: Billing Specialist I - Billing / Copay Specialist
Location: Monroeville, PA
Pay Rate: $19.50 per hour
Schedule: Monday to Friday, 8:00 AM – 4:30 PM (Hybrid – Required to be in office 4 times per month and for additional meetings as needed)
Lunch: 30-minute unpaid lunch

Position Summary:
The Billing Specialist I – Billing / Copay Specialist is responsible for managing patient assistance program (PAP) cards to assist with co-pays. The role involves calling manufacturers, patients, and third-party payers to obtain necessary information for co-pay assistance cards, entering this data into the system, and submitting it to the billing system. This position requires working with multiple operating systems and web-based platforms to resolve outstanding claims and issues while ensuring that all billing processes comply with healthcare reimbursement protocols.

Key Responsibilities:

• Contact manufacturers, patients, and assistance programs to obtain the necessary co-pay assistance cards and related information.
• Load the provided information into the system and submit it into the billing system for processing.
• Work with third-party payers, assistance programs, and patients to resolve outstanding claims and reimbursement issues.
• Utilize several operating systems and web-based programs to communicate with multiple entities to resolve issues.
• Prioritize daily tasks to meet deadlines and maintain accuracy in billing and reimbursement processes.
• Maintain proper documentation and records in compliance with company standards and healthcare regulations.
• Provide exceptional customer service in a team-oriented environment.
• Collaborate effectively with other departments and team members to resolve issues.

Qualifications:

• Minimum of 1 year experience in healthcare reimbursement, medical insurance billing, or a related field.
• At least 1 year of experience working with healthcare reimbursement systems.
• Working knowledge of medical terminology.
• Proficient in Microsoft Word, Excel, and Outlook.
• Ability to prioritize tasks and manage time effectively.
• Strong customer service skills with the ability to work in a team environment.
• Must have a verifiable High School diploma or GED.

Physical Demands:

• The position requires the ability to sit at a desk for extended periods and perform tasks on a computer.
• Ability to communicate clearly and effectively with internal and external stakeholders.

Work Environment:

• Hybrid work schedule with required in-office attendance 4 times per month and for additional meetings as needed.
• Office environment with standard office equipment.

If you have a strong background in healthcare reimbursement, enjoy problem-solving, and have excellent communication and customer service skills, apply now to join our team as a Billing Specialist I.