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
