Billing Coordinator – Specialty Pharmacy
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Billing Coordinator managing claims, adjudication, and prior authorizations for WellDyne’s specialty pharmacy services. Resolving rejected orders and supporting copay and patient assistance programs.
Responsibilities:
- Manage the adjudication inboxes
- Assist with medical claims billing
- Troubleshoot orders with rejected status, including refill too soon, dose changes, duplicate claims, and eligibility issues
- Reconcile the master claims queue
- Assist with billing projects, including Member AR report and COGS
- Ensure insurance information is accurate for correct adjudication
- Assist patients with re-enrollment of copay cards and patient assistance plans
- Communicate with patient assistance plans when necessary to obtain payment
- Assist with timely initiation and resolution of prior authorizations
- Work with appropriate staff members to resolve claims issues
- Follow and aid in enforcement of company policies and procedures
- Perform other duties as assigned
- Work in a typical office environment with prolonged sitting and standing in front of a computer
- Operate standard computer, phone, and office equipment
- May work long hours and handle occasional high-stress customer, client, and employee interactions
Requirements:
- High School Diploma or equivalent
- Certified and Registered Pharmacy Technician, (Colorado) in good standing required
- Registered with the State of Florida (Florida techs only) in good standing required
- Certification preferred for Florida pharmacy technicians
- Previous Prior Authorization or Claims experience is preferred
- Demonstrates a high degree of personal responsibility regarding accuracy and quality of work
- Demonstrates ability to work effectively and maintain expected productivity
- Ensures accuracy of information being provided to Management for review
- Schedules own time based on priorities
- Demonstrates Excellent customer service and Professionalism
- Ability to multi-task
- Ability to communicate effectively, patiently, and courteously
- Ability to work in a high pace, stressful environment
- Should be independent and self-motivated
- Maintains a good attendance record
- Respect and maintain confidentiality guidelines of HIPAA
Similar Jobs
Client Billing Support Specialist I
Billing support specialist resolving insurance and platform issues for Grow Therapy’s mental healthcare marketplace. Supporting clients and therapists through phone and live chat.
Senior Lead – Billing and Disputes
Senior Lead resolving global customer billing disputes for Velotic, an industrial operations software company. Investigating discrepancies, processing adjustments, and improving order-to-cash accuracy.
Senior Manager, Billing & Payments
Senior Manager leading Billing & Payments implementations and customer adoption for ECP, a SaaS platform serving senior living communities. Managing consultants, integrations, payments strategy, and operational metrics.
Junior Billing Specialist
Junior Billing Specialist managing billing operations for BICS, a global connectivity provider. Handling invoices, disputes, payments, reconciliations, and bad-debt reduction.
Billing Correspondence Coordinator I – Correspondence Billing Specialist
Billing correspondence coordinator processing healthcare invoices, claims, and adjustments for Labcorp’s diagnostic testing services. Managing customer communications and correction requests remotely.
Collections and Billing Specialist
Collections and Billing Specialist managing receivables, billing, adjustments, and disputes for CIEE’s nonprofit international exchange programs.
Billing Technician II – Corporate Benefits
Técnico de faturamento na Alper, corretora brasileira de seguros corporativos e benefícios. Executando conciliações, rateios, controles de recebimentos e validações sistêmicas.
Billing Manager
Billing Manager overseeing invoicing, receivables, and billing accuracy for Sumsub’s global trust and compliance platform. Improving international finance workflows while supporting customers and internal teams.
Utility Billing Specialist
Utility Billing Specialist managing billing, payments, and tenant billbacks for U.S. residential properties. Supporting Marshall Reddick Real Estate’s property management operations remotely from the Philippines.
Billing Specialist
Billing Specialist managing denials, accounts receivable, payments, and insurance questions for Blackbird Health’s pediatric mental health services. Supporting children and families through accurate, compassionate billing.
Billing Administrator
Billing Administrator managing accurate invoicing and billing for a UK business. Resolving queries, reconciling records, and maintaining month-end reporting remotely from South Africa.
E-Billing Specialist – Temporary
Temporary E-Billing Specialist managing electronic bills and accrual deadlines for Ballard Spahr, a national U.S. law firm. Supporting attorneys, assistants, and pricing teams across e-billing platforms.
Billing Coordinator
Billing Coordinator managing client portfolios, electronic invoicing, and billing compliance for Fish & Richardson, a global intellectual property law firm. Resolving discrepancies and supporting month-end billing operations remotely in Minnesota.
Senior Product Manager, Billing Engine – Platforms Monetization
Senior Product Manager owning GitLab's metering, rating, and usage billing platform. Enabling credit-based monetization across GitLab's DevSecOps products and deployment models.
Accounts Receivable, Billing Specialist
Accounts Receivable Specialist managing invoicing, reconciliations, collections, and billing analysis. Supporting Atticus, a Philippines-based remote staffing and IT offshoring firm serving global businesses.
Accounts Receivable Billing Specialist
Accounts receivable specialist managing billing, reconciliations, statements, and collections for a healthcare-related company. Supporting clients, brokers, and TPAs while handling HIPAA-protected information.
Billing Specialist
Remote Billing Specialist supporting healthcare revenue collection through coding, claims follow-up, denials resolution, and patient billing assistance. Serving healthcare groups across the Company’s operating states.
Senior Developer – Duck Creek Billing Lead
Duck Creek Billing Lead designing and supporting scalable P&C insurance applications for Pacific Specialty Insurance Company. Leading architecture, integrations, production support, and developer mentoring.
Support Billing Specialist
Support Billing Specialist managing accurate invoicing and billing requests for ePlus, a technology solutions provider. Handling data entry, invoice distribution, customer modifications, and process improvements.
Orthodontic Billing Specialist
Dental billing specialist managing CDT-coded claims, Medicaid billing, follow-ups, and denials for Diamond Braces, an orthodontic care organization.