Billing & Reimbursement Representative - Whitestown, Indiana, USA

• Must be located within driving distance of the Whitestown, Indiana office as this position is mainly remote/work from home, but attendance for training and meetings in-person as necessary is required.

• Must be able to work Monday - Friday for an 8-hour shift with flexibility to start workday between 6am - 9am EST.

Join our Accounts Receivable team that supports Accredo Specialty Pharmacy as a Billing & Reimbursement Representative. In this role, you will utilize advanced knowledge to prepare and review claims approaching timely filing to ensure billing accuracy and to edit, bill and collect payment on outstanding claims in pursuit of reducing the company's accounts receivable. The qualified candidate must have a complete understanding of the billing and collection processes and require little supervision for routine work.

ESSENTIAL FUNCTIONS:

• Prepare and review claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations

• Pursue collection activities to obtain reimbursement from patients and/or payors

• Contact payors to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial)

• Frequent follow up with payers and/or patients on outstanding accounts

• Respond to billing inquiries and questions relating to patient accounts

• Help with special projects when needed

QUALIFICATIONS:

• Must be local to Whitestown, Indiana & willing and able to come onsite as needed for training and meetings

• Must be able to work an 8 hour shift Monday - Friday with flexibility to start workday between 6am - 9am EST

• High school diploma or GED required

• 2+ years relevant experience - billing, reimbursement, collections preferred

• Healthcare, insurance, pharmacy knowledge highly preferred

• PC Skills including Microsoft Outlook, Excel, Word

• Strong written & verbal communication skills

• Strong critical thinking & investigative skills

• Detail oriented and strong organizational skills

• Self-starter and team player

• Focus on quality and service

• Demonstrated ability to meet multiple deadlines and manage a heavy workload

• Integrity to handle sensitive or confidential information is critical