At Specialty Rx, Inc., our mission is to provide exceptional service guided by our CARE culture Commitment, Accountability, Respect, and Excellence. The highest priority of each employee is to deliver top-quality service to our customers and colleagues, whether directly or through supporting others. This job description outlines the primary responsibilities through which employees embody our CARE values and contribute to the companys mission of outstanding service.

Responsibilities:

Perform duties assigned by the Billing SupervisorResearch and establish patient eligibility coverage with insurance providers (state and private)Determine and process insurance rejections in accordance with the daily reportMaintain and update patient billing and insurance information in the systemSubmit prior authorizations for State insuranceInteract with insurance company on daily basis, i.e., overrides, rejections, and insurance updatesInteract with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessaryFollow up and resolved pending billing issues

Qualifications:

H.S. diploma or equivalentThird party rejections required Experience in Long Term Care Pharmacy preferred Experience in New York Pharmacy billing claims preferred Courteous and polite phone skillsComputer literatePrevious experience in pharmacy Must be able to work independently and as a teamAbility to multitask and work in a fast-paced environment a mustFrameworks/ECM knowledge a plusMust be detail oriented

Schedule:

Flexible with the hours and the ability to work nights and weekends is a must. 8am

• 4pm9am
• 5pm11am
• 7pm12pm
• 8pm3pm
• 11pm4pm
• 12am EEO Statement, SpecialtyRx, Inc.

is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state, or local law. EO/Minorities/Females/Disabled/Veterans