PANTHERx Rare Pharmacy

Pharmacy Billing Operations Specialist

PANTHERx Rare Pharmacy

full-time

Posted on:

Location Type: Hybrid

Location: Pittsburgh • Pennsylvania • 🇺🇸 United States

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Job Level

JuniorMid-Level

About the role

  • Bills specialty pharmacy NCPDP (National Council for Prescription Drug Programs) claims.
  • Makes collection calls and research on past due assigned accounts.
  • Communicates with PBM for various rejections or overrides.
  • Researches and processes refunds as required.
  • Tracks denials trending.
  • Prepares Bad Debt Write-Offs as required.
  • Reconciles member accounts as needed.
  • Handles multiple tasks and meets deadlines.
  • Other duties as assigned within scope of practice.

Requirements

  • Bachelor’s degree in business or related field required.
  • Equivalent work experience may substitute education requirements.
  • Detailed understanding of Pharmacy billing/collections practices with all payer types.
  • Excellent oral and written communication skills communicating 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.
  • Consistently uses tact, sensitivity, sound judgement, and a professional attitude.
  • Knowledge of Microsoft Office Suite, especially Excel, Outlook, and PowerPoint
  • 2 years of pharmacy billing/collections knowledge in a specialty pharmacy setting.
Benefits
  • Hybrid, remote and flexible on-site work schedules are available, based on the position.
  • PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program!
  • Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees.
  • Of course we offer paid holidays too!

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Pharmacy billingCollections practicesNCPDP claimsBad Debt Write-OffsAccount reconciliationDenials trendingRefund processingProblem-solving
Soft skills
Oral communicationWritten communicationTactSensitivityJudgementProfessional attitudeTime management