Billing Representative- Remote

At Specialty Rx, Inc., our mission is to provide exceptional service guided by our CARE culture — Commitment, Accountability, Respect, and Excellence. The highest priority of each employee is to deliver top-quality service to our customers and colleagues, whether directly or through supporting others. This job description outlines the primary responsibilities through which employees embody our CARE values and contribute to the company’s mission of outstanding service.


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 in accordance with the daily report
  • Maintain and update patient billing and insurance information in the system
  • Submit prior authorizations for State insurance
  • Interact with insurance company on daily basis, i.e., overrides, rejections, and insurance updates
  • Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessary
  • Follow up and resolved pending billing issues

Qualifications:

  • H.S. diploma or equivalent
  • Third party rejections required
  • Experience in Long Term Care Pharmacy preferred
  • Experience in New York Pharmacy billing claims preferred
  • Courteous and polite phone skills
  • Computer literate
  • Previous experience in pharmacy
  • Must be able to work independently and as a team
  • Ability to multitask and work in a fast-paced environment a must
  • Frameworks/ECM knowledge a plus
  • Must be detail oriented

Schedule:

Flexible with the hours and the ability to work nights and weekends is a must.

  • 8am - 4pm
  • 9am - 5pm
  • 11am - 7pm
  • 12pm - 8pm
  • 3pm - 11pm
  • 4pm - 12am

EEO Statement, SpecialtyRx, 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 and gender identity or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

Back to blog

Other Jobs To Apply

Upto $200K/Year | Inpatient 7-On/7-Off | Dual-Certified PMHNP/FNP | Remote

Lead M&A Delivery

CAD Implementer (REMOTE-US)

Scientific Account Manager - Stem Cell Solutions- REMOTE

Regional Safety Leader - Remote Power & Energy

Sr. Program Manager (Healthcare)

Senior/Lead Software Engineer

Hubspot Marketing Consultant (Remote)- CONTRACT

Remote Sales Administrative Assistant

Remote eBay Expert

Electrical or Mechanical Commissioning Agent (Travel Required/Remote)

Senior Big Data Engineer: Snowflake + dbt (Remote)

Remote Senior Bioinformatics Manager, Genomics & Clinical

Business Process Analyst at General Dynamics: 100% Remote (LA)

Solution Architect – Agentic AI

NetSuite ARM Implementation Consultant - Senior Associate

PMT Engineer - Analytics and Automation

Payments & Product Partnerships Counsel, Americas

Financial Consultant I - Principal Connection

Dist Design Project Coord - Sr

Market Commentary Writer and Social Editor at Wealthfront: 100% Remote (San Francisco, CA, New York City, NY)

Global Total Rewards Lead

Remote Payroll Specialist | Flexible Hours & Growth

Entry-Level Auto Technician: Hands-On Tire & Maintenance

Senior Associate, Risk and Structuring Analytics

Services Project Coordinator

Software Developer/Senior Software Developer

Manager, Professional Services- Streaming Media

Varonis Careers - Technical Account Manager

Manager, Accounts Payable

Monday.com Consultant[remote]

Remote Electrical Engineer — Critical Power Systems

Platform Engineering & Reliability Specialist (Azure)

Remote Patient Scheduling Specialist (Part-Time, 20hrs/wk)

Remote Retirement Inside Sales Specialist

Remote SAP MM Consultant – Entry Level

Client Support Specialist - Greater Philadelphia, PA Area (REMOTE)

Customer Service Specialist I at Aon Plc: 100% Remote (Fort Washington, PA, US)

Services Project Coordinator

Appeals Nurse Consultant (Remote)

Servicing Travel Advisor III - Chase Travel (Remote - Tempe, AZ)

Programmatic Solutions Manager, Uber Advertising

Manager, Flight Maintenance - Traveling

Customer Service / Pizza Maker (01068) 28803 Northwestern Hwy, Southfield, MI

Guidewire Architect - PC/CC/BC

Notary Stamp Order Online | West College Corner, IN

Senior Analyst, Program Cost Controls (Remote)

Sr. Tech Business Developer, Just Walk Out Technology by Amazon - AWS Solutions

Medical Consultant

SENIOR DIGITAL SALES EXECUTIVE (REMOTE/USA) - KSLA (GDM - GRAY MEDIA GROUP)