Synchrony Health Services · 6 hours ago
Pharmacy Billing Associate
Synchrony Health Services is seeking a Pharmacy Billing Associate for their Pharmacy division. The role involves processing invoices, assisting healthcare professionals with insurance claims, and ensuring compliance with billing regulations.
Health CareMedicalRehabilitation
Responsibilities
Generate and submit claims to insurance providers
Verify the accuracy of prescription orders, patient information, and insurance details before billing
Monitor claim status and follow up on rejected or denied claims
Address billing inquiries, resolve disputes, and provide exceptional customer service
Investigate and resolve billing discrepancies and issues with insurance claims
Collaborate with the pharmacy team to resolve complex billing-related problems
Ensure compliance with all billing guidelines and regulations
Verify patient insurance coverage, eligibility, and benefits
Address any discrepancies in coverage and communicate with patients or facilities when needed
Request prior authorization on drugs that are denied for prior authorization
Notify facilities of changes and exceptions when appropriate
Other duties as assigned
Qualification
Required
High School / GED
1-3 years of experience
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours
Must be able to lift at least 50lbs
Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus
Preferred
Certified Pharmacy Tech
Company
Synchrony Health Services
Synchrony Health Services is a healthcare firm that delivers post-acute care, pharmacy, and rehabilitation services.
Funding
Current Stage
Late StageRecent News
Louisville Business First
2025-01-14
Business Journals
2023-07-19
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