Specialty Billing Technician
Walgreens
INDIANAPOLIS, IN
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JOB DETAILS
LOCATION
INDIANAPOLIS, IN
POSTED
30+ days ago
Responsible for the accurate billing and collection of third party and patient payments for products and services rendered.
Job Responsibilities (listed in order of importance and/or time spent)
- Submit timely, accurate invoices to payer for products and services provided.
- Correctly determine quantities and prices for products and services billed.
- Verify services and products are correctly authorized and required documentation is on file.
- Ensure all Medicare documentation is received from the medical provider and submitted to Danville.
- Review reports to maximize generic substitution opportunities.
- Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy.
- Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing).
- Process reimbursement checks/payment in accordance with policy.
- Review price modify logs and ensure there are corresponding SDL (submit direct link) claims.
- Review, research and resolve all third party chargebacks in a timely manner.
- Assist with any third party audits, in accordance with company policy.
- Process and file all SDL (submit direct link) claims in accordance with company policy.
- Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities.
- Responsible for proactive communication to patients and providers regarding referral/prescription status.
- Responsible for maintaining a deep understanding of and assisting patients with assistance programs enrollment, such as Chronic Disease Fund, confirming patient eligibility and all required reporting and documentation.
- Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians and third party payers.
- Maintains subject matter expertise pertaining to all external billing practices including but not limited to third party adjudications, prior authorization, and patient financial assistance programs in order to coach pharmacy technicians and other support staff.
About the Company
W
Walgreens
Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.
COMPANY SIZE
10,000 employees or moreINDUSTRY
Retail
WEBSITE
https://www.walgreens.com/