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Medical Biller Specialist / Dme Billing Specialist

PHARMACY IN NORTH JERSEY
Newark, NJ Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 3/21/2025

Medical Supply Specialist
Giannotto's Specialty Pharmacy was founded in 1995 and is committed to providing the best in medication therapy management and specialty medications management to our Customers and Patients. We are Located on Bloomfield Ave & First Ave in Newark, NJ and We are currently looking for Medical Billing for medications to join our amazing company

"*Please do not apply if you do not meet all of the requirements*"

Job Description:

Manage Billing All Medical Side of Medications of All Insurances - Commercial / Medicare / Medicaid / MCO's

  • Must conduct clinical assessment for medications on patients
  • Complete Patient Data Requirements
  • Consult on Medical Billing Protocols on Specialty Medications
  • Assess the results of pharmaceutical/ medical treatment for Disease Conditions for Medications

Job Requirements:

  • Data Entry into Prime Rx / Micromerchant Software System & Cpr on all medical claims for medications
  • Prior Authorizations for Medical Claims for medications
  • Able to Bill, Code, Assess Medical Necessity of Specialty Medications for Patient per Diagnosis
  • Able to Bill and collect on Billing to follow up on payment from vendors, clients, 3rd party insurance, medicaid, MCO's and medicare submitted claims for rentals and sales.
  • Able to promote the current and new business
  • Excellent phone skills
  • excellent customer service skills
  • Able to work on moment's notice to go extra mile for clients
  • able to maintain current clients and new clients
  • must be able to bill medications under medical benefit
  • Current location can service north jersey state and other licensed states
  • Must be able to learn the disease entity, understand entity & take appropriate action to ensure patient's well being

Compensation

  • Based on Experience and Evaluation

Job Types: Full-time, Part-time

Schedule:

  • Monday to Friday

Application Question(s):

  • What Medical Supplies have you billed on medical claims specifically?
  • Do you have experience on Cpr for data entry

Education:

  • High school or equivalent (Preferred)

Experience:

  • ICD-10 for Medical Supplies: 2 years (Required)
  • Medical Billing for Medial Equipment & Medications: 2 years (Required)

Work Location: In person

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