Pharmacy Billing Specialist

Posted Date 2 weeks ago(9/16/2022 8:34 AM)
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The Pharmacy Billing Specialist is responsible for pursuing the appropriate and timely collection of all claims for payment for pharmacy services.



  • Assist in the preparation and submission of pharmacy claims to third party insurance carriers
  • Secure appropriate medical documentation as required by third party insurance carriers
  • Follow up with third party insurance carriers and patients on unpaid claims or balances
  • Research payer regulations and claim guidelines regarding claim payment and denial management criteria to ensure compliant billing practices by utilizing website
  • Assist in verification of insurance coverage for pharmacy services prior to services being rendered
  • Re-verify benefit coverage criteria as needed for claims 
  • Ensure accurate and thorough documentation of steps taken to resolve claim issues are recorded in billing software
  • Communicate claim issues to Billing Manager on a regular basis
  • Work with Billing Manager and/or Team Lead to establish weekly, monthly, annual goals and communicate associated progress 
  • Produce billing reports
  • Maintain patient billing records


Must have:


HS diploma or GED

3 years of physician or hospital medical billing

Proficient with MS Office

Proficient with computer systems and using a calculator


Pay is $22.00-$24.00 per hour







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