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Reimbursement Billing Representative

Company: Conlin's Pharmacy, Inc.
Location: Methuen
Posted on: February 3, 2020

Job Description:

Conlin's Pharmacy and Home Medical Equipment is currently seeking to hire a Medical Reimbursement Billing Representative. In this role you will be required to coordinate and perform all essential functions of pharmacy, medical equipment and supplies reimbursement/billing process in order to achieve maximum recovery of accounts receivable. Conlin's Pharmacy offers a professional work environment, competitive pay and generous benefits package. We are a family owned & operated business for over 110 years, conveniently located in Methuen. QUALIFICATIONS:


  • High school diploma or equivalent; related college degree preferred.
  • Two years experience in accounts receivable or billing in a medical setting, preferably in medical supplies.
  • Excellent communication, organizational and mathematical skills.
  • Knowledge of medical terminology and strong understanding of third-party payors and coverage guidelines. (preferably of medical supplies)
  • Knowledge of Microsoft Office applications preferred.
  • Must be willing to work in Drug Free environment and pass Drug Screening Test.

    JOB SUMMARY:

    • Daily review and confirmation of processed orders.
    • Prepares and compiles all supporting medical documentation required for claim submission.
    • Ensures effective billing procedures through quality assurance of billing documentation.
    • Prepares claims and invoices to be submitted to third party payors and responsible parties.
    • Initiates and maintains all follow-up procedures on unpaid claims and denials.
    • Applies and posts cash receipts to outstanding balances.
    • Makes weekly collection calls to customers on private-pay balances.
    • Provides back-up operator telephone coverage when needed.
    • Compiles data for monthly reporting as required by management.
    • Provides assistance in gathering carrier allowable via insurance fee schedules.
    • Attends seminars, reviews industry literature and communicates with third party payors to maintain knowledge of reimbursement issues.
    • Communicates reimbursement information and coverage criteria to appropriate personnel within the organization.
    • Develop and utilize information systems to their fullest potential.
    • Communicate information systems changes, updates and enhancements to appropriate personnel in the organization.
    • Performs other duties and special projects as assigned by the Billing Manager.

Keywords: Conlin's Pharmacy, Inc., Methuen , Reimbursement Billing Representative, Accounting, Auditing , Methuen, Massachusetts

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