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Medical Billing

Remote Billing Representative_Third Party

SpecialtyRx

Contact information


Full job description

SpecialtyRx is a full-service pharmacy. We need Remote Billing Representative with Third Party Rejections experience in our Ridgefield Park, NJ location.

Must have experience with LTC Pharmacy Third Party Billing Rejections

Hours we are Flexible:

8am - 4pm

9am - 5pm

11am - 7pm

12pm - 8pm

3pm - 11pm

4pm - 12am


Must be able to train for 3 weeks onsite


Billing Representative Responsibilities:

  • Perform duties assigned by the Billing Supervisor.

  • Research and establish patient eligibility coverage with insurance providers (state and private)

  • Determine and process insurance rejections by the daily report.

  • Maintain and update patient billing and insurance information in the system.

  • Submit prior authorizations for State insurance.

  • Interact with the insurance company on daily basis regarding overrides, rejections, and insurance updates.

  • Interact with client facilities staff, PDP (Medicare), CMS, NJM, and NYM when necessary.

  • Follow up and resolved pending billing issues.


Billing Pharmacy Representative Requirements:

  • H.S. diploma or equivalent.

  • Courteous and polite phone skills.

  • Computer literate.

  • Ability to work nights and weekends.

  • Previous experience in Retail pharmacy is a must.

  • Previous experience in Third Party Rejections Billing is a must.

  • Experience in Long Term Care Pharmacy. (Preferred)

  • Must be able to work independently and as a team.

  • The ability to multitask and work in a fast-paced environment is a must.

  • Experience in New York Pharmacy billing claims. (Preferred)

  • Frameworks/ECM knowledge is a plus.

  • Must be detail-oriented.

EEO Statement:

Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Medical Receptionist

143 Palisade Avenue, Jersey City, NJ 07306

$18 - $20 an hour

Full-time


Full job description

We at Apex Heart and Vascular are looking for an experienced Medical Receptionist with exceptional telephone greeting skills. We are a premier cardiovascular institute. We are looking for someone who's a team-player, a go-getter, and flexible.

Ideal candidate should be able to

  • Greet and answer phone calls in a professional and courteous manner.

  • Greet and attend to patients in person at the front desk for check in and check out or answer calls in the back office and help the patients over the phone.

  • Professionally assist family members for the patients, other staff members, visitors, vendors and providers.

  • Schedule appointments for the patients over the phone or in person.

  • Able to perform accurate documentation of patient visits and has excellent database (spreadsheet) skills

  • Has working knowledge of medical terminology and HIPAA rules.

  • Able to pay meticulous attention to detail with the ability to multi-task.

  • Has excellent documentation, communication and IT skills.

  • Bilingual: Spanish/Arabic/Tagalog preferred

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

  • Health insurance

Work Location: In person

Medical Front Desk Receptionist

West New York, NJ 07093

$16.50 - $19.00 an hour

Part-time


Full job description

An ophthalmology practice in West New York, a member of ECOA, is seeking a part-time medical receptionist to join our team for 29 hours per week. We are looking for a professional, organized, and customer-oriented individual with an engaging personality. English proficiency is required, and Spanish language skills are a plus. While experience is preferred, we are willing to train the right candidate.

Qualifications:

- High School Diploma or GED (higher education preferred)

- Customer service experience (preferred)

- Knowledge of medical terminology (preferred)

- Strong computer skills, including Microsoft Word, Excel, and email (experience with EHR systems, specifically MDI and Athena, is a plus)

Primary Responsibilities:

- Greet patients, guests, and vendors, providing exceptional customer service.

- Process and update patient demographic and insurance information.

- Verify insurance and explain health insurance participation rules to patients.

- Schedule appointments and follow-ups.

- Answer, screen, and route phone calls professionally.

- Collect co-pays and outstanding balances.

- Maintain paper medical charts, department manuals, and a clean workspace.

- Assist the office manager and cooperate with the team to achieve specific goals.

- Maintain patient confidentiality in compliance with HIPAA and OSHA requirements.


Our practice culture is detail-oriented, supportive, and team-focused. This is a part-time position at a single location, with hours scheduled Monday through Friday.

If you are interested, please reply with your resume and a list of the computer programs you are proficient in. Salary is based on experience.

Job Type: Part-time

Pay: $16.50 - $19.00 per hour

Education:

  • High school or equivalent (Preferred)

Experience:

  • Customer service: 1 year (Preferred)

  • Medical terminology: 1 year (Preferred)

  • Computer skills: 1 year (Required)

  • Medical receptionist: 1 year (Preferred)

Language:

  • English is a must, Spanish is a plus (Required)

Work Location: In person


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