Pharmacy Billing Specialist (061526) at SelectQuote, Inc.

, , United States -

Full Time

Start Date

Immediate

Expiry Date

01 Aug, 26

Salary

0.0

Posted On

03 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical billing, Collections, Insurance claims processing, Patient account management, Medical coding, HIPAA compliance, Data entry, Customer service, Communication, Detail-oriented, Computer proficiency, Office equipment operation, Multi-line telephone system, Problem-solving, Time management

Industry

Pharmaceutical Manufacturing

Description

Company Overview Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships. SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility. About the Role The Pharmacy Billing Specialist is responsible for collecting posting and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies. Supervisory Responsibilities: This position has no direct supervisory responsibilities. Essential Duties and Responsibilities: Preparing and submitting clean claims to various insurance companies either electronically or by paper Answering questions from patients, clerical staff, and insurance companies Identifying and resolving patient billing complaints Preparing, reviewing, and sending patient statements Evaluating patient’s financial status and establishing budget payment plans; following and reporting the status of delinquent accounts Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor Prepares information for the collection agency Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers Participating in educational activities and attending monthly staff meetings Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations Skills/Abilities: Detail-oriented and accurate Ability to operate a computer, computer software, and basic office equipment Ability to operate a multi-line telephone system Skilled in answering a telephone in a pleasant and helpful manner Ability to read, understand, and follow oral and written instructions Ability to establish and maintain effective working relationship with patients, associates, and the public Proficiency in reading, writing, and speaking English in required Education and Experience: 1 year of medical billing and collections practice experience preferred Knowledge of basic medical coding and third-party operating procedures and practices preferred Knowledge of business office procedures Certificates/Licenses/Registration: National Certification (PTCB or NHA) required Indiana and Pennsylvania State Pharmacy Technician licenses required Physical Requirements: Work is performed indoors with potential for exposure to safety and health hazards related to a home office environment. Could periodically travel to other office and operational sites. Prolonged periods of sitting at a desk and working on a computer. SelectQuote Core Values: Service: We create positive customer experiences. Entrepreneurship: We create innovate & take risks. Leadership: We build & invest in high-performing teams. Empowerment: We embrace a changing environment. Courage: We challenge the status quo & drive continuous improvement. Teamwork: We help support & celebrate each other. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required. At this time SelectQuote does not hire applicants who solely possess temporary work visas requiring employer sponsorship of any kind including but not limited to OPT, H-1B, L-1, O-1, TN, F-1, J-1, E-3, etc. SelectQuote Insurance Services does not discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status. Our Benefits The Compensation for this position is listed below. Local minimum wage laws apply. This information is posted pursuant to local requirements to provide applicants with information about what they might be eligible to receive. Individual pay decisions will depend on job-related factors such as experience, education, skill, performance, and geographic location where work will be performed. Successful candidates may be able to participate in one or more incentive compensation or short-term incentive plans, which could generate additional earnings in accordance with the terms of each plan. We are proud to offer the following benefits: Competitive Medical, Dental, and Vision Insurance HSA/FSA Voluntary Hospital Indemnity, Critical Illness, Accident Insurance, and Short Term Disability Voluntary Life Insurance for Self, Spouse and Dependent Company-paid Basic Life Insurance and Long Term Disability Retirement plan and Employer match contribution with Profit Share Tuition Reimbursement program Company perks and Discount program Engaging Wellness and Financial Education Resources Employee Assistance Program Incentive Plans Base Hourly Minimum $18.00 Base Hourly Maximum $21.00

Responsibilities

The Pharmacy Billing Specialist is responsible for submitting patient claims to insurance companies and managing patient account payments. They also handle billing inquiries, resolve complaints, and perform collection actions to ensure accurate account records.