Rush University Medical Center · 5 days ago
HDM-OP Pharmacy FS Specialist - Specialty Billing-23697
Chicago, IL
Full-time
Onsite
Mid Level
$20.19/hr - $31.80/hr
3+ years expRush University Medical Center is seeking a Specialty Billing Representative responsible for managing billing and accounts receivable for the specialty pharmacy service line. This role ensures accurate and timely billing while maintaining compliance with payer and regulatory requirements, including verifying insurance eligibility and processing claim denials.
Clinical TrialsEducationHealth CareMedicalTraining
Responsibilities
Prepares and submits medical claims weekly for Oncology, Infertility, Cystic Fibrosis, Transplant, and Pulmonary therapies
Analyzes, resolves, and resubmits rejected or underpaid claims for payment
Identifies trends and recommends process improvement opportunities that will result in DSO reduction, superior collection rate and intervals, and reduced bad debt
Assists management with the training of new employees on all the outpatient pharmacy billing systems
Assists management and new employees on coding issues, payor contracts, and collection policies
Participates in special payer projects with management staff to ensure proper reimbursement per our contracts or patients' benefit levels
Interacts with patients and insurance carriers to resolve outstanding claims issues
Maintain a specified level of knowledge pertaining to new developments, requirements, and policies
Provides guidance to the pharmacy manager to ensure financial targets are met
Qualification
Required
Associate's degree from an accredited college or university
Minimum 3 years' experience with specialty or home infusion pharmacy billing
Minimum 1 year of Medicare (Part B) and Medicaid billing
Knowledge of billing procedures for all commercial and governmental payors
Knowledge of HCPC and ICD codes and maintains up-to-date professional knowledge of Medicare, Medicaid and insurance industry requirements for qualifying services
Excellent verbal and written communication skills with the ability to effectively communicate with others in a professional and helpful manner. Demonstrates ability to adapt to a changing environment
Possess the ability to work effectively with others as part of a team
Good organizational and time management skills
Preferred
BA or BS degree from an accredited university
Minimum 2 years of experience as a pharmacy technician
In lieu of minimum education requirements, a high school diploma (or equivalent) and at least 6 years of relevant job experience may be considered. With additional consideration given if the candidate has at least 2 years of Medicare (Part B) and Medicaid billing
Company
Rush University Medical Center
Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.
10001+ employees
H1B Sponsorship
Rush University Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (85)
2023 (64)
2022 (81)
2021 (65)
2020 (66)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Richa Gupta
Chief Operating Officer, Rush University Medical Group
Courtney Cole Kammer
Senior Vice President, Chief Human Resources Officer
Recent News
GlobeNewswire
2026-01-02
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