APB01
Located in long beach, CA
Pay: 25-35
Job Full Description
Infusion Pharmacy Billing & Collections Specialist (CPR+ Required)
Job Type: Full-time
Pay: $25.00 – $35.00 per hour
Schedule: 40 hours per week
Work Location: Onsite in Long Beach
Job Description
A well-established infusion pharmacy client is seeking an experienced Billing & Collections Specialist with a strong background in infusion pharmacy billing and CPR+ software. This role focuses on managing unbilled revenue, insurance follow-ups, and ensuring accurate and timely reimbursement from commercial, Medicare, and Medi-Cal payers.
CPR+ experience is required. Infusion pharmacy billing experience is required.
Key Responsibilities
- Perform electronic adjudication of prescription benefit claims, including Medicare Part D
- Manage and work the Ready-to-Bill queue daily to ensure timely claim submission
- Review claims for accuracy and compliance with payer guidelines
- Perform billing, collections, denial management, and appeals
- Follow up with insurance companies to resolve unpaid or denied claims
- Process unworked tickets within 48 hours and resolved tickets within 24 hours
- Review delivery tickets and submit claims per payer-specific requirements
- Submit secondary claims with appropriate documentation when applicable
- Identify trends causing rejections or delays and communicate findings
- Research payer portals for billing updates and policy changes
- Support A/R goals, cash collections, and month-end close
- Work effectively in a fast-paced, deadline-driven environment
- Overtime may be required to meet departmental goals
Qualifications
- High School Diploma or GED required
- 1–2+ years of Infusion Pharmacy billing and collections experience (required)
- Hands-on experience with CPR+ software (required)
- Knowledge of commercial insurance, managed care, Medicare, and Medi-Cal
- Strong attention to detail and organizational skills
- Ability to multitask, prioritize, and problem-solve
- Excellent communication and follow-up skills
Benefits
- 401(k) with employer matching
- Health insurance
- Paid time off
- Stable, full-time opportunity
- Competitive hourly pay based on experience
- Work with an established infusion pharmacy operation
- Long-term growth potential
Long Beach, CA
3433
3299 East Hill Street
Suite 303
Signal Hill, CA 90755
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