Job Information
Elevance Health Biller (US)-25 in ALTAMONTE SPRINGS, Florida
Be Part of an Extraordinary Team.
BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.
Billing Coordinator (Onsite) - Must reside within 50 miles of Altamonte Springs, FL and be able to work onsite. Two shifts available: Tuesday-Saturday 10am - 7pm or 11am - 8pm.
As a Billing Coordinator , you will be responsible for reviewing account files to ensure accuracy and completeness, and maximum reimbursement, and appeal denials.
How you will make an impact
Review patient account files.
Prepares and reviews billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal.
Collects and decreases assigned Accounts Receivable focusing on high value accounts.
Manages and maintains third party accounts.
Responds to patient, insurance carrier and internal and external telephone inquiries.
Completes all denial and correspondence daily.
Prepares and submits refund requests to insurance carriers.
Re-bills claims when not paid properly.
Minimum Requirements:
Requires a H.S. diploma and a minimum of 2 years of experience in billing and appeals process in Medicare/MediCal, including medical office experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experience:
Pharmacy experience is strongly preferred.
Electronic specialty pharmacy billing experience strongly preferred.