Pharmacy Billing Specialist

Responsibilities

• Enter and review patient demographic information.
• Communicate with facility and family representatives to obtain demographic information and validate appropriate billing charges.
• Complete assigned daily billing tasks.
• Review and process Medicaid pending claims.
• Perform daily and comprehensive census reconciliations to ensure data accuracy.
• Conduct hospice reconciliations to maintain accurate records.
• Process third-party insurance claims.
• Complete rebills and credits as needed.
• Generate month-end and interim reports.
• Review pre-billing reports for accuracy.
• Review invoices and initiate claim corrections when necessary.
• Assist with prior authorizations and non-formulary documentation processes.
• Route and triage documents to appropriate work queues.
• Handle inbound and outbound customer phone calls.
• Assist with third-party payer audit preparation.
• Perform additional duties as assigned.
• High School Diploma required; Bachelor's degree preferred.
• 1-5 years of long-term care pharmacy billing experience preferred.
• Certified Pharmacy Technician credential preferred.

If you are interested in being considered for this Pharmacy Billing position and you have the appropriate background, please apply online via the Robert Half website or via the Robert Half app. After applying to this accounting/finance role, please CALL immediately at 412-471-5946 to confirm your application has been received! Ask for Carrie, Dan or Aimee and please reference Job #03760-0013541835 when calling!

If you visit the Robert Half website and see any other Accounting or Finance jobs in the greater Pittsburgh area that you would like to learn more about, please call 412-471-5946.