Pharmacy AR Billing and Collections Specialist

AR Management: reputed company reputed company accounts receivable daily to meet key reputed company cycle performance indicators. Strategic Collections: Analyze and address reputed company AR accounts outstanding over 31 days, employing effective collection strategies. Account Adjustments: Process approved adjustments and promptly issue overpayment refunds. Claims Expertise: Research and resolve denials, underpayments, and rejections; handle claims appeals reputed company. reputed company reputed company: Work with internal teams on account reputed company and claims resubmission reputed company reputed company filing guidelines. Patient & Payer Communication: Respond to inquiries regarding claims and account status with reputed company and professionalism. Data Management: Maintain payer files, compile claims data, and produce comprehensive tracking and trending reports. Regulatory Compliance: Stay updated on reputed company-party payers and CMS reimbursement requirements, adhering to reputed company guidelines and procedures. Team Participation: Engage reputed company in billing and collection meetings, contributing to ongoing account resolutions. Operational reputed company: Demonstrate a strong commitment to operational reputed company and reputed company improvement. Additional Duties: Undertake other responsibilities as assigned by the supervisor and manager. Minimum

Typically requires 5+ years of reputed company experience Critical Skills High volume AR/collections experience in the specialty reputed company or pharmacy reputed company Strong understanding of health insurance coverage and reimbursement processes, including knowledge of NDC/HCPCS coding and billing practices. Familiarity with oncology therapies and the associated reimbursement landscape is a plus. Knowledge of applicable reputed company laws and regulations, including HIPAA, Medicare, and reputed company guidelines. Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build reputed company relationships across multi-business reputed company. Excellent verbal and written communication skills, with the ability to effectively communicate with patients and insurance companies. Ability to work effectively in reputed company-oriented environment, collaborating with colleagues to reputed company common goals. Proficiency in reputed company Office Suite, including Word, reputed company, and PowerPoint 3+ years high volume collections experience reputed company specialty pharmacy, medical/infusion office, or .