Job Description A-Line Staffing Solutions is looking to hire a Medical Biller in the Arlington, TX area with a major healthcare company.
Starting ASAP If this the position for you, apply for immediate consideration Pay Rate
– $17.00/hr
– $20.00/hr Shifts available will be: Monday
– Friday 9:00 am
– 5:30 pm or 10:00 am
– 6:30 pm Tuesday
– Saturday shift will be 11:00 am
– 7:30 pm Medical Biller Essential Functions: Act as a resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims.
Certified Pharmacy Technician with an understanding of Insurance and Medicaid formularies and processes including the prior authorization processes.
Makes outgoing calls to Facilities, Plans, and Physician’s offices as needed to obtain approvals Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues.
Work closely with peers and management.
Performs other tasks as assigned.
Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager.
Provide clinical support to members of the RxAllow team regarding prior authorization concerns Conducts job responsibilities in accordance with the standards set out in the Company’s code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and State Laws, and applicable professional standards.
Familiar with the claim adjudication process.
Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow.
Prioritize work to meet daily and competing deadlines.
Education/Learning Experience: Required: High School Diploma, Associates Degree Required: Certified Pharmacy Technician Desired: Bachelor’s Degree Work Experience Required: Third Party Medical Billing Experience Desired:1-3 Years Pharmacy Experience Desired: 3 Years Call Center Experience