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Walgreens · 3 days ago

Specialty Billing Technician

Iowa City, IA

Full-time

Onsite

New Grad, Entry Level

$20.25/hr - $26/hr

0+ years exp

Walgreens is a leading pharmacy chain, and they are seeking a Specialty Billing Technician responsible for the accurate billing and collection of third party and patient payments for products and services rendered. The role involves submitting invoices, verifying documentation, and managing patient balances while ensuring compliance with company policies.

Consumer GoodsHealth CarePharmaceuticalRetail

Responsibilities

Submit timely, accurate invoices to payer for products and services provided

Correctly determine quantities and prices for products and services billed

Verify services and products are correctly authorized and required documentation is on file

Ensure all Medicare documentation is received from the medical provider and submitted to Danville

Review reports to maximize generic substitution opportunities

Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy

Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing)

Process reimbursement checks/payment in accordance with policy

Review price modify logs and ensure there are corresponding SDL (submit direct link) claims

Review, research and resolve all third party chargebacks in a timely manner

Assist with any third party audits, in accordance with company policy

Process and file all SDL (submit direct link) claims in accordance with company policy

Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities

Responsible for proactive communication to patients and providers regarding referral/prescription status

Responsible for maintaining a deep understanding of and assisting patients with assistance programs enrollment, such as Chronic Disease Fund, confirming patient eligibility and all required reporting and documentation

Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians and third party payers

Maintains subject matter expertise pertaining to all external billing practices including but not limited to third party adjudications, prior authorization, and patient financial assistance programs in order to coach pharmacy technicians and other support staff

Qualification

Pharmacy Technician licensePTCBExCPT certificationMedical claims submissionCustomer service experienceData entry in databasesRetail experienceVerbal communicationWritten communication

Required

High School Diploma or equivalent

Pharmacy Technician license, in states where required

Maintains PTCB or ExCPT certification through the designated PTCB or ExCPT training program and/or state required certification/registration

Experience communicating both verbally (on phone, one-on-one, to groups) and in writing (emails, letters, reports, presentations) to various audiences (work group, team, company management, prospective acquisitions, external clients)

Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction

Preferred

Prefer six months of experience in a retail environment

Prefer to have prior work experience with Walgreens

Experience in processes related to submitting medical claims, including but not limited to Medicare submission, knowledgeable in EOB (explanation of benefits), remittance advice and adherence to timely filing limits

Experience entering data into databases (e.g., MS Excel)

Company

Walgreens

Glassdoor3.1

Walgreens is a pharmacy, health, and wellness service center that offers trained infusion nurses and pharmacists to treat patients. It is a sub-organization of Walgreens Boots Alliance.

Founded in 1901

Deerfield, Illinois, USA

10001+ employees