Pharmacy Billing Specialist

US Workers Billing

Pharmacy Billing Specialist

Ann Arbor, MI
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    Dental insurance

    Health insurance

    Paid time off

    Parental leave

    Vision insurance

    Who We Are WRS is a medical device company headquartered in Ann Arbor, MI. We offer world class multi-modal post-op pain management for orthopedic excellence. We focus on systems that improve patient recovery and practice management. We do all of this while combating the Opioid Epidemic. We are located in the heart of downtown Ann Arbor, MI and we are looking for a full-time Pharmacy Billing Specialist. Hybrid work is available; we prefer candidates based in Michigan.

    We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.

    What You'll Do

    Prepare pharmaceutical bills and invoices, and document amounts due to medical procedures and services using correct billing codes

    Communicate with account managers about areas of concern with medications that are not processing appropriately

    Field inbound/outbound calls to/from insurance companies

    Investigate claim rejections

    Distribute and document information obtained via phone, fax, and email

    Verify patient information and perform data entry with a focus on accuracy

    Collect and review referrals and pre-authorizations by communicating with nurse case managers and adjusters via phone

    Investigate and appeal denied claims

    Audit records to ensure proper submission of services prior to submitting a claim to the payor

    Collaborate with the team to improve processes and efficiencies

    Ensure compliance with state and federal regulations

    Following up on EOBs

    Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation

    What You'll Bring

    High School Diploma (or equivalent); college degree preferred

    1-3 years’ experience in medical billing

    A positive approach to daily tasks and a strong work ethic

    Strong analytical skills, a solution-oriented approach, with excellent follow-up skills, strong time management, a sense of urgency, and the ability to shift gears frequently throughout the day

    Excellent verbal and written communication skills

    Strong typing skills

    Prefer experience with ICD-10 and HCPC coding

    Job Type: Full-time

    Job Location: Ann Arbor

    Flexible work from home options available.