Medicare D Billing Specialist

Job Summary

Acting as a primary liaison for the Clinical Hub, the full-time Medicare D Billing Specialist will manage prior authorization processes, communicate with healthcare facilities and insurance plans, and ensure timely completion of authorization forms while working remotely within the Continental USA.

Key responsibilities

• Research payment denials and coordinate with facilities to obtain necessary documentation
• Make outgoing calls to healthcare facilities, plans, and physician offices to obtain approvals
• Provide clinical support to the RxAllow team regarding prior authorization submissions and concerns

Required qualifications

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