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Pharmacy Billing Specialist

  • Job expire date: 12/31/2020
  • Job Type: Permanent
  • Hourly Rate: USD 16 - 18 / Hour
  • 1458, Fulton Street, Brooklyn, Brooklyn, New York, United States
Functional Area Pharma / Biotech / Healthcare / Medical / R&D
Industry Medical/Healthcare/Hospital
Job Description
  • Who We’re Looking For:

    • Experience in billing prescriptions for high-volume pharmacy required; experience working with MicroMerchant highly preferred.
    • Ability to function in a high-volume, fast-paced environment.
    • Knowledge of billing guidelines and resources for Medicaid, Medicare and commercial insurances.

    What You’ll Be Doing:

    • Track expired prescriptions and send refill requests to providers.
    • Track patients who require appointments and develop a scheduling system with relevant departments.
    • Assist in internal and external auditing.
    • Maintain and update accurate database for drug costs and NDCs; Audit NDC billing and daily supply usage.
    • Track Prior Authorizations and import information into Covermymeds; Assist providers with completion of Prior Authorizations.
    • Communicate with providers by offering alternative medications, if applicable.
    • Assist pharmacies with billing refills and processing new prescriptions.
    • Develop relationship with Insurance companies to obtain prior authorizations, overrides, or help desk support in order to maximize the potential in obtaining a paid claim, and to maximize the reimbursement amount.

    What We Offer:

    • Supportive team
    • PTO
    • Medical insurance
    • 401k
    • Commuter Benefits
    • Employee Discount
    • Career Growth
About Company
  • QRP Healthcare Group is a New York healthcare company composed of multiple healthcare divisions, including Urgent Care and Infusion Centers
Recruiter Details
  • HR QRP
  • 2122498202