Job Description
Are you a detail-oriented healthcare billing professional looking for a hybrid position near Monroeville, PA? We are seeking a dedicated Pharmacy Billing Representative to ensure timely and accurate billing for unbilled claims and collect outstanding account balances!
In this key role, you will qualify, prepare, and submit medical and pharmacy claims to Medicare Part B, Major Medical, and Medicaid payers. Working standard daytime hours (Monday through Friday, 8:00 AM – 4:30 PM), you will utilize multiple operating systems and web-based applications to retrieve document images, gather necessary fill details, and resolve claim discrepancies to ensure compliant, timely billing practices. You will collaborate daily with long-term care facility staff, pharmacy operations teams, prescriber offices, third-party payers, and patients. If you bring at least one year of healthcare reimbursement or billing experience, good computer skills in Microsoft Office (Word, Excel, Outlook), and strong organizational capabilities, this contract opportunity offers a great environment to showcase your expertise. Candidates must reside within 1 hour of the Monroeville, PA office location.
salary: $19.49 - $19.5 per hour
shift: First
work hours: 8 AM - 4 PM
education: High School
Responsibilities
Position Summary: Qualify, prepare, and submit Medicare Part B, Major Medical, and Medicaid claims while navigating multiple operating systems to resolve billing errors and secure outstanding payments.
Key Responsibilities: - Qualify, prepare, and submit healthcare claims to Medicare Part B, Medicaid, and Major Medical insurers.
- Retrieve document images, gather supporting clinical/fill information, and resolve unbilled claims through to resolution.
- Communicate with LTC facility staff, pharmacy operations, prescriber offices, insurance carriers, and patients regarding billing inquiries and payments.
- Navigate multiple computer software systems and web-based tools while adhering to compliant healthcare reimbursement practices.
- Prioritize daily tasks to meet organizational productivity and account balance collection goals.
Requirements: - Verifiable High School Diploma or GED required.
- Minimum 1 year of experience in healthcare reimbursement, medical insurance, or pharmacy billing.
- Basic proficiency in Microsoft Office applications, specifically MS Excel, Word, and Outlook.
- Working knowledge of medical terminology and healthcare reimbursement systems.
- strong organizational, detail-oriented, and communication skills in a fast-paced environment.
- Must reside within a 1-hour commute of the Monroeville, PA office.
Skills
- Billing
- Legal Billing
- Medical Billing
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Any consideration of a background check would be an individualized assessment based on the applicant or employee's specific record and the duties and requirements of the specific job.
Job Tags
Hourly pay, Permanent employment, Contract work, Temporary work, Work experience placement, Work at office, Monday to Friday, Shift work