Independent Health · 22 hours ago
Billing Specialist
Williamsville, NY (Reliance Rx)
Full-time
Hybrid
Entry Level
$20.50/hr - $21.50/hr
1+ years expIndependent Health is a company that fosters growth, innovation, and collaboration. The Billing Specialist assists with pharmacy operations by handling the billing of pharmacy and medical claims and managing rejections.
Health CareInsuranceNon Profit
No H1B
Responsibilities
Responsible for billing all claims (pharmacy and medical) and managing rejections to ensure appropriate follow up and delivery promise times are met
Act as a liaison between patients and insurance companies, and facilitate communication between patients and doctors, medical staff and administrative staff
Work with payors to resolve any billing issues
Ensure Reliance Rx is following CMS guidelines per Medicare and Medicaid guidance
Confirmation of billing accuracy and payor billing/shipping requirements
Process and set up deliveries to medical offices
Medical claims billing for both supplies and medications
Confirm financial aspects of the claims prior to them leaving the facility
Portal management including refill reminders, processing orders from the portal, and completing patient registrations
Financial assistance coordination with patients for foundation care, copay assistance, or free medication programs where applicable
Assist the Patient Care Specialists in workflow and with incoming and outgoing calls in accordance with business needs, to include but not limited to: maintaining patient records; filing and documentation duties
Set up and data entry
Financial arrangements and collecting co-payments
Prior authorization assistance with offices
Coordination of benefits
Promote information sharing and continuous process improvement
Function in strict accordance with standard, written procedures and guidelines with deviation approved by the supervising pharmacist
Qualification
Required
High school diploma or GED required
One (1) year of experience working in a high-volume pharmacy, or equivalent setting, required, or six (6) months as a temporary associate in the Reliance Rx Operations & Compliance department
Effective oral and written communication skills and an aptitude for working with other health care professionals
Ability to lift a minimum of 5 lbs
Proven examples of displaying the Reliance values: Collaborative, Accessible, Results-Oriented, Empowering, and Supportive
Preferred
National Pharmacy Technician Certification (CPhT) preferred
Experience working with online claims processing system preferred
Benefits
Full range of benefits
Generous paid time off
Company
Independent Health
As one of Western New York's first HMOs, Independent Health covers approximately 355,000 people here and across the country with more than 100 plans, services and products.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-11-18Acquired
Leadership Team
Michael W. Cropp, M.D., M.B.A.
President and CEO
Jim Dunlop Jr.
Executive Vice President and Chief Financial Officer
Recent News
vermontbiz.com
2025-11-19
2025-11-19
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