Billing Specialist jobs in Pensacola, FL

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Billing Specialist
  • Guardian Pharmacy of NW Florida, LLC
  • Crestview, FL FULL_TIME
  • Crestview, Florida, United States of America
    Guardian Pharmacy of Northwest Florida is part of the Guardian Pharmacy Services network and prides itself on its customer service. Each team member plays an integral part in the success of the pharmacy.

    Schedule: Monday - Friday 7:30-4:30pm

    This role will be performed onsite at a closed-door pharmacy in Crestview, FL. All patient interactions will be over the phone.

    Comprehensive training provided side by side with training team.
    Must be comfortable working in a high-volume environment.

    We offer full time benefits including health, vision, dental and matching 401k options.

    Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.

    ATTRIBUTES REQUIRED:

    • Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
    • Relational – ability to build relationships with business unit management and become “trusted advisor.”
    • Strategy and Planning – ability to think ahead, plan and manage time efficiently.
    • Problem Solving – ability to analyze causes and solve problems at functional level.
    • Team Oriented – ability to work effectively and collaboratively with all team members.

    ESSENTIAL JOB FUNCTIONS (include the following):

    • Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
    • Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
    • Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
    • Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
    • Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
    • Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
    • May pursue payment from delinquent accounts and make payment arrangements.
    • Research, identify and organize requested audit documentation in timely manner.
    • Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
    • Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
    • Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
    • Rotate through other departments to gain working/functional knowledge of other department workflows.
    • Follow all applicable government regulations including HIPAA.
    • Work as a collaborative team member to meet the service goals of the pharmacy.
    • Other essential functions and duties may be assigned as needed.

    EDUCATION AND/OR CERTIFICATIONS:

    • High School Diploma or GED required.
    • Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).

    SKILLS AND QUALIFICATIONS:

    • 1 years of related experience
    • Advanced computer skills; pharmacy information system experience preferred.
    • Ability to work independently and deliver to deadlines.
    • Great attention to detail and accuracy
    • Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
    • Quality minded; motivated to seek out errors and inquire about inaccuracies.

    WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.

    • The noise level in the work environment is usually low to moderate.
    • Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
    • Requires desk work in office environment.
    • Ability to work flexible hours.

    Full-Time employees working 30 hours per week are eligible to enroll in our comprehensive benefits package, which includes medical, dental, vision, short and long-term disability, life and supplemental life insurance, and PTO.

    All employees are eligible to enroll in our company matched 401(k) plan.

    Job Type: Full-time

  • 2 Days Ago

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Billing Specialist
  • HCA Florida West Women's Health
  • Pensacola, FL FULL_TIME
  • Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Billing Specialist opening with HCA Florida West Women's Health today and find...
  • 1 Month Ago

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Clinic Billing Specialist
  • Northwest Florida Community Hospital
  • Chipley, FL FULL_TIME
  • Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referr...
  • 19 Days Ago

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Patient Billing Specialist
  • Northwest Florida Community Hospital
  • Chipley, FL FULL_TIME
  • Responsible for all activities in the Hospital accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and refe...
  • 21 Days Ago

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Clinic Billing Specialist - JR175
  • Northwest Florida Community Hospital
  • Chipley, FL FULL_TIME
  • Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referr...
  • 24 Days Ago

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Clinic Billing Specialist - JR175
  • Northwest Florida Community Hospital
  • Chipley, FL FULL_TIME
  • Responsible for all activities in the Hospital accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and refe...
  • 2 Days Ago

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0 Billing Specialist jobs found in Pensacola, FL area

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Tax Manager
  • Saltmarsh, Cleaveland & Gund
  • Pensacola, FL
  • Saltmarsh is currently seeking an experienced Tax Manager that sees themselves as a leader who wants to join a firm that...
  • 3/28/2024 12:00:00 AM

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Account Manager
  • EmCo Consulting, Inc.
  • Pensacola, FL
  • The Account Manager position is responsible for handling waste stream management for assigned clients or any current cli...
  • 3/28/2024 12:00:00 AM

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National Account Manager Off Premise AL, AR, LA, MS and Panhandle FL
  • The Judge Group
  • Pensacola, FL
  • JOB DESCRIPTIONWe are currently hiring a National Account Manager Off Premise Off Premise AL, AR, LA, MS and Panhandle F...
  • 3/28/2024 12:00:00 AM

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National Account Manager
  • GHA Technologies, Inc
  • Pensacola, FL
  • Financial Highlights: $2,500 First Week Training Pay for the first five training days. $500 to $1500 virtual or onsite c...
  • 3/27/2024 12:00:00 AM

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National Account Manager
  • GHA Technologies, Inc
  • Shalimar, FL
  • $50 an hour, $2,500 New Hire Training Bonus for the first five training days! GHA Technologies, Inc. has become the #1 E...
  • 3/27/2024 12:00:00 AM

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Executive Director - Financial Operations
  • Baptist Health Care
  • Pensacola, FL
  • Job Description The Executive Director - Finance provides management with key strategic information on assigned business...
  • 3/27/2024 12:00:00 AM

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Sales Territory Account Manager
  • B & C Fire Safety Inc
  • Fort Walton Beach, FL
  • Job Description Job Description B B&C Fire Safety is a 45 plus year locally owned, family focused company with offices i...
  • 3/25/2024 12:00:00 AM

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Accounting Manager
  • SocoSIX Strategies LLC
  • Fort Walton Beach, FL
  • Job Description Job Description Who We Are: SocoSIX is a risk management company founded in 2016. Recognized in the indu...
  • 3/24/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Billing Specialist jobs
$38,894 to $45,699
Pensacola, Florida area prices
were up 1.5% from a year ago

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