Responsible for handling and transferring patient information, submission of claims to insurance companies, and also ensures that the payments for medical services are received in a timely manner
Pharmacy technciain texas State license is required
Billing/Collections Representative will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.
Key Responsibilities of the Pharmacy Billing/Collections Representative:
*Third Party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.
*Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.
*Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.
*Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
*Maintain patient demographic information in data collections systems.
*Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.
*Research and respond by telephone, via the internet and in writing to patients, physician's offices, insurance companies and governmental payers regarding billing issues and problems as well to expedite claims processing.