Certified Medicare D Biller

Job Summary

To support the Clinical Hub, the full-time Certified Medicare D Biller will manage prior authorization requests, communicate with healthcare facilities and insurance plans, and ensure accurate documentation while working remotely within the Continental USA during Central Time Zone hours.

Key responsibilities

• Act as a resource for facilities in obtaining necessary documentation and following up on outstanding claims
• Make outgoing calls to facilities, plans, and physician's offices to obtain approvals and resolve customer issues
• Research payment denials by contacting insurance plans and coordinating with facilities for supporting information

Required qualifications

• High School Diploma; Associate's degree preferred, Bachelor's degree a plus
• Certified Pharmacy Technician or Medical Assistant Certification desired
• Experience in third-party medical billing
• Knowledge of EMAR systems and the claim adjudication process
• One to three years of pharmacy experience preferred