Pharmacy Billing Specialist

Posted May 30

Job Summary:

Founded in 1985, SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.

SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.

Job Summary:

The Pharmacy Billing Specialist is responsible for collecting, posting, and managing patient account payments. This position is responsible for submitting patient claims to insurance companies and following up on the claims with insurance companies. Due to production needs of the pharmacy this role will be 2nd shift the potential to rotate between first and second shifts if needed.

Supervisory Responsibilities:

  • This position has no direct supervisory responsibilities.

Duties/Responsibilities:

  • Prepares and submits clean claims to various insurance companies either electronically or by paper
  • Answers questions from patients, clerical staff, and insurance companies
  • Identifies and resolves patient billing complaints
  • Prepares, reviews, and sends patient statements
  • Evaluates patient’s financial status and establishes budget payment plans; following and reporting status of delinquent accounts
  • Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor; prepares information for the collection agency
  • Performs various collection actions including contacting patients by phone; corrects and resubmits claims to third party payers
  • Participates in educational activities and attends monthly staff meetings
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines and regulations

Required Skills/Abilities:

  • Ability to operate a computer, computer software, and basic office equipment
  • Ability to operate a multi-line telephone system
  • Skilled in answering a telephone in a pleasant and helpful manner
  • Ability to read, understand, and follow oral and written instructions
  • Ability to establish and maintain effective working relationships with patients, employees. and the public

Education and Experience:

  • High School Diploma or GED preferred
  • Knowledge of medical billing/collection practice
  • Knowledge of business office procedures
  • Knowledge of basic medical coding and third-party operating procedures and practices

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.

SelectQuote Core Values:

  • Service: We create positive customer experiences.
  • Entrepreneurship: We create, innovate, & take risks.
  • Leadership: We build & invest in high-performing teams.
  • Empowerment: We embrace a changing environment.
  • Courage: We challenge the status quo & drive continuous improvement.
  • Teamwork: We help, support, & celebrate each other.

Benefits:

It’s an exciting time to join SelectRX, a subsidiary of SelectQuote. We became a publicly traded company in 2020 with the first 100% virtual IPO (non-biotech) in American history. We have also been recognized nationally on the 2021 Top Workplaces USA list and by the Kansas City Business Journal as a 2020 Best Places to Work honoree. SelectRX strives to be a one-stop-shop for Senior Health Information needs, including Medicare Plan Benefits, Healthcare Literacy, Value-Based primary Care, Prescription Drug Management and Patient Engagement.

Full-time employees are eligible for medical, dental, vision, voluntary short-term disability, company-paid long term disability, company-paid life insurance and accidental death & dismemberment (AD&D), 401(k) + company match and 100% vesting after 4 years, discretionary profit sharing, employee stock purchase program (espp), paid time off, floating holidays, paid maternity leave, paid parental bonding leave, tuition reimbursement, jury duty pay, and other paid leaves vary based on work location.