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WRS Group · 1 month ago

Pharmacy Billing Specialist

Ann Arbor, MI

Full-time

Hybrid

Entry Level

$45K/yr - $45K/yr

1+ years exp

WRS Group is a medical device company headquartered in Ann Arbor, MI, focused on multi-modal post-op pain management. They are seeking a Pharmacy Billing Specialist to prepare bills, communicate with insurance companies, and ensure compliance with regulations.

HospitalManufacturingMedicalMedical DevicePharmaceutical

Responsibilities

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

Qualification

Medical billing experienceICD-10 codingHCPC codingAnalytical skillsTyping skillsSolution-oriented approachVerbal communicationWritten communicationTime management

Required

High School Diploma (or equivalent)

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