We are seeking a detail-oriented Entry-Level Billing Clerk to support our specialty pharmacy billing operations. This role is ideal for someone who is organized, eager to learn, and comfortable working in a fast-paced healthcare environment.
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Prepare and submit pharmacy claims through billing software and pharmacy management systems
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Review claims for accuracy, including patient information, NDCs, quantities, and prescriber details
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Verify insurance coverage, copays, benefits, and prior authorization requirements
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Follow up on unpaid, delayed, or rejected claims and assist with corrections or resubmissions
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Document payments, adjustments, and account updates accurately
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Maintain up-to-date patient billing records and insurance information
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Communicate with patients, insurance companies, prescribers, and internal pharmacy teams to resolve billing issues
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Answer billing-related questions and provide clear explanations of charges
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Assist with appeals, secondary billing, and claim reconciliation
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Support month-end reporting and general billing documentation
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Maintain organized digital and physical billing records for audit and compliance purposes