Surpass Behavioral Health · 2 months ago
Pharmacy Pre-Billing Specialist
Nash, TX, USA
Full-time
Onsite
Mid Level
3+ years expSurpass Behavioral Health is seeking a Pharmacy Pre-Billing Specialist to ensure the quality of work produced by the referral management and intake teams. The role involves reviewing customer insurance, healthcare claim submissions, and prior authorizations, along with direct communication with insurance organizations.
Health CareMental HealthTherapeutics
Responsibilities
Reviews insurance operational areas:
Insurance Verification and entry into Care Tend
Prior Authorization completion in CT
Preparation for Claim Submission
Intake Workflow
Copay Assistance / billing
Insurance software
Performs a variety of office functions, such as filing, typing, copying, data entry, research, etc., to support various b Maintains various Billing files in proper order billing and financial operations
Nursing Software/Nursing Note Submission & Nurse tracking
Billing preparations for nursing notes
Adheres to confidentiality, safety, compliance, and legal requirements
Ongoing Communication with Referral Management, Billing, Insurance Verification, and Data Entry
Assists in appropriate product selection by understanding all payers, reimbursement, and formularies
Comply with company deadlines and inventory to meet both the company and its compliance standards
Consistently represents the company in a professional manner
Maintains effective working relationship and cooperates with all personnel in the Company
Participate in administrative staff meetings and attend other meetings and seminars
Performs other related duties as assigned or requested
Qualification
Required
A High School Diploma or equivalent GED is required, at minimum
3 - 5 years medical experience
Ability to work independently and within a multidisciplinary team
Minimum two years in healthcare environment/industry
Provides the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible
Possesses the ability to multi-task and frequently change direction as required
Preferred
College or technical college preferred
Company
Surpass Behavioral Health
Surpass Behavioral Health offers ABA therapy for children and teens with autism, focusing on impactful, tailored programs.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Daniel Byrdsong
Founder and CEO
Company data provided by crunchbase