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    Billing Operations Specialist - Pittsburgh, United States - Murtech

    Murtech
    Murtech Pittsburgh, United States

    1 week ago

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    Description

    Job Description

    Job DescriptionJob Title: Billing Operations Specialist Location: 1day/week on-site - Pittsburgh, PA 15275 Purpose:The Billing Operations Specialist bills and collects assigned payer accounts. The Billing Operations Specialist works closely with payers to determine billing guidelines as well as make collection calls daily on assigned accounts that are past due.
    Responsibilities:
    • Bills specialty pharmacy claims, both NCPDP format and CMS 1500 format.
    • Researches Electronic 837 capabilities.
    • Collections on past due assigned accounts.
    • Researches and processes refunds as required.
    • Denials trending.
    • Prepares Bad Debt Write-Offs as required.
    • Reconciles member accounts as needed.
    • Handles multiple tasks and meet deadlines.
    • Other duties as assigned within scope of practice.
    Required Qualification:
    • Bachelor's degree in business or related field required. Equivalent work experience may substitute education requirements.
    • Detailed understanding of both Medical and Pharmacy billing/collections practices with all payer types
    • Excellent oral and written communication skills and able to communicate effectively with all levels of management.
    • Strong problem-solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make appropriate and timely decisions.
    • Uses tact, sensitivity, sound judgement, and a professional attitude constantly.
    • Knowledge of Microsoft Office Suite, especially Excel, Outlook, and PowerPoint
    Preferred Qualifications:
    • 2 years of medical billing/collections knowledge in a specialty pharmacy setting
    • 837 (EDI) medical billing knowledge
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