Pharmacy Billing Specialist

Pharmacy Billing Specialist Ann Arbor, MI Job Details Full-time $46,000 - $50,000 a year 22 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Work from home Parental leave Vision insurance Qualifications Appeals Insurance prior authorization Phone communication Insurance claim appeals processing Mid-level State healthcare regulations High school diploma or GED Client invoicing ICD-10 Analysis skills Medical billing Data entry Medical insurance appeals management Typing Outbound calling 1 year Referral coordination Healthcare compliance Communication skills Time management

Full Job Description 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.