Position Overview:
The Reimbursement/Billing Specialist is responsible for a portfolio of accounts receivable and oversees the billing cycle from charge review, claims submission and follow-up. The employee is engaged in a proactive and independent collection of outstanding balances for specially handled IV Services, LLC., pharmacy accounts. The Reimbursement/Billing Specialist will serve as the technical expert for complex workflows. The specialist is responsible for handling charge review edits, claim edits and preparation, insurance follow-up, denial resolution, and necessary follow-up to ensure accurate payment.
Supervisory Responsibilities:

• None

Duties/Responsibilities:

• Maintain a portfolio of accounts receivable for the pharmacy;
• Follow accounts through the Pharmacy revenue cycle, including but not limited to: verifying patient coverage information, updating registration, completing charge review, claim edits ...