Billing Specialist

SGS Consulting

Position: Billing Specialist I

Location: Monroeville, PA 15146

Shift: M-F: 8-5 (flexible)

Contact Information: Please share your resume on [email protected]

Pay rate: Negotiable

Note: – Must be Fully vaccinated



* Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. * Minimum 1 year experience working with healthcare reimbursement systems. * Ability to prioritize daily tasks. * Working knowledge of medical terminology. * Customer service skills with the ability to work in a team environment. * Experience in MS Word, Excel and Outlook.


Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Entry level position; 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail oriented. Ability to work in a fast paced, rapidly changing environment Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and good typing skills.

Position Summary:

The Pharmacy Billing/Collections Representative will ensure timely and accurate billing for unbilled claims and ensure account payment for outstanding balances while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers.

Key Responsibilities of the Pharmacy Billing/Collections Representative:

•Third Party insurance claim billing and follow up associated with the dispensing of prescription medication using the bill method required by the payer.

•Transmit or submit claims (paper, electronic) to insurance payers for reimbursement.

•Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.

•Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.

•Maintain patient demographic information in data collections systems.

•Work all billing reports and queues while remaining in accordance with payer and company policy guidelines.

•Research and respond by telephone, via the internet and in writing to patients, physician’s offices, insurance companies and governmental payers regarding billing issues and problems as well to expedite claims processing.



Verifiable High School diploma or GED is required.

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