Demo

Billing Specialist

Parsley Health
West Henrietta, NY Full Time
POSTED ON 1/21/2025 CLOSED ON 3/8/2025

What are the responsibilities and job description for the Billing Specialist position at Parsley Health?

Job Description:

Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer

reimbursement and timely billing to eliminate financial risks

Researches, analyzes and appropriately resolves rejected claims by working with national

Medicare D plans, third party insurance companies and all state Medicaid plans to ensure

maximum payer reimbursement adhering to critical deadlines

Ensures approval of claims by performing appropriate edits and/or reversals to ensure

maximum payer reimbursement

Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes

Works as a team to identify, document, communicate and resolve payer/billing trends and

issues

Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans

Prepares and maintains reports and records for processing

Performs other tasks as assigned

Qualifications:

Education/Learning Experience:

Required: High School Diploma or GED

Desired: Associate’s or Bachelor’s Degree

Work Experience:

Required: Customer Service

Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

Required: Ability to retain a large amount of information and apply that knowledge to

related situations. Ability to work in a fast-paced environment. Basic math aptitude.

Microsoft Office Suite

Desired: Knowledge of the insurance industry’s trends, directions, major issues,

regulatory considerations and trendsetters

Licenses/Certifications:

Desired: Pharmacy technician, but not required

Job Type: Contract

Pay: Up to $18.00 per hour

Schedule:

  • Evening shift
  • Monday to Friday

Experience:

  • Microsoft Office: 1 year (Preferred)
  • Customer service: 1 year (Preferred)
  • Claims: 1 year (Required)

Work Location: In person

Salary : $18

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