Welcome page Returning Candidate? Log back in! Medical Billing Specialist Job Locations US-NY-Gouverneur Posted Date 17 hours ago(1/8/2025 9:51 AM) Requisition ID 2025-13653 # of Openings 1 Category Healthcare Location : Location US-NY-Gouverneur Overview

Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services.

 

Travel: Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to Facilities for periodic training and review.

 

Scope of Responsibilities: Works under minimal supervision.  Follows standard procedures to accomplish assigned tasks.  Establish, manage, and communicate the process of billing medical claims for specialty facilities.

Responsibilities

Job Duties:

 

Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty facilities.Collaborate with leadership to enhance and grow the medical billing process for all facilities.Provide timely reporting, feedback, and information to support the business operation and medical billing functions as necessary Provide insights regarding trends in medical billing to operations teamFollow, create and improve the Policies and Procedures necessary to improve the functionality of the medical billing process. Knowledge of Excel spreadsheets is also essential.Possess strong accounting and organizational skills to effectively manage and maintain systems and processes associated with the position.Coordination with other pharmacy and finance staff for proper financial reporting of billing and receipts and clerical responsibilities as needed to include copying and filingResponsible for completing all mandatory and regulatory training programsPerform other duties as assigned Qualifications

Educational Requirements:

 

Minimum: High School Diploma or GEDPreferred: Medical Billing/Coding certification, Pharmacy technician or related certification

 

Experience: 

 

Past experience in a customer service-related fieldPast experience in medical billing environment12-24 months experience as a pharmacy technician

 

Special Conditions of Employment:

 

Drug testInitial and continuous exclusion and sanction/disciplinary monitoringAny and all additional eligibility requirements based on the specific position

 

Attendance Requirements:

 

Must be available, and on-time for scheduled work shifts. Must be able to work nights and weekends as required.

 

Job Skill Requirements:

 

Broad knowledge of medications, physician orders, and pharmacy systemsStrong communication skills Outstanding customer service skillsExcellent organization skillsAbility to multitask and prioritize Excellent computer and keyboarding skillsExcellent Excel skillsSuccessful completion of a pre-employment and/or random drug screening test

 

Required Training:

 

HIPAA Privacy Course HIPAA Security CourseFraud, Waste, and Abuse CourseMethGuard CourseHIPAA Privacy CE Mastery ExamHIPAA Security CE Mastery ExamFraud, Waste, and Abuse CE Mastery ExamMethGuard CE Mastery Exam

 

Behavioral Traits Required:

 

Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact withInitiative: Must work within supervision guidelines and assume additional responsibilitiesFlexibility: Must be willing to work variable work schedules, nights and weekends, assist others as requested and available, and be willing to perform all assigned workAdaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiencesInvolvement: Must enjoy the demands of the job and work with interest and enthusiasmCustomer Service: Must provide superior customer service (for Noble customers, fellow employees and business partners), listen attentively to their needs and respond appropriatelySafety: Must take care of equipment and employ good safety habitsLeadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQs

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