Pharmacy Technician - Third Party Billing Specialist
Headhunters, LLC - Houston, TX

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Job Description
  • Receive inbound and make outbound calls to healthcare professionals, patients and payers.
  • Provide assistance with reimbursement inquiry requests, including insurance benefit verification, prior authorization, denials and appeals, and other reimbursement issues.
  • May provide billing and coding information related to specific product(s).
  • Conduct general payer research.
  • Work with payers and healthcare professionals to resolve prior authorization issues and/or appeals and denials.
  • Identify complex cases and triage appropriately to next level.

  • Two year Pharmacy Technician degree or completion of a Pharmacy Technician Training Program or related four year degree (Science, Microbiology, Law, Chemistry) or commensurate experience in Pharmacy.
  • Minimum of two years relevant experience (healthcare billing, physician office, health insurance processing) involving case management and/or patient interaction, preference with prior compounding pharmacy experience.Knowledge of medical insurance terminology.
  • Previous experience with Pharmacy Benefits Management or Insurance Billing is highly desired.
  • Computer skills with proficiency in Microsoft Office.
  • One year data entry experience.
  • Ability to multitask and prioritize in a fast-paced environment.
  • Professional phone manner.
  • Strong verbal communication and telephone skills.
  • Problem solving, research, analytical, and troubleshooting skills.
  • Excellent interpersonal skills.
  • Customer service experience, strongly preferred.

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