At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.

CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. 

Summary 

Underthegeneral supervision ofManagement,theBilling Specialistis responsibleforassistingthe billing team in ensuringaccuratebilling,timelysubmission of electronic and/or paper claims,solving for unique billing requirements, resolving claims due to billing requirements,and documenting related account activities. Ensurethat all billing is donepromptlyand meetsmonth-endexpectations.

Pay Range: $25/hr - $30/hr (DOE) + Quarterly Bonus opportunities

Schedule: (Remote) Monday - Friday, 8:30am - 5:00pm in your respective time zone

Travel: 3xs/year to Plano, TX for various team gatherings, trainings, meetings, etc.

Essential Duties and Responsibilities  

includethe following.Other duties may beassigned,as necessary.

• ​​​Perform pre-bill review to ensure that authorization is documented where necessary.

• ​Ensure that coding on claimsfollows payer guidance. 

• ​Ensureaccuratebilled and expected chargesdo not exceed usual and customary or contractual pricing whereindicated.

• ​Create andsubmitprimary and secondary pharmacy and medical claimspromptly.

• ​Reviewing andidentifyingclaims pricing discrepancies based on updates/changes to fee schedules.

• ​Communicateanybilling-relatedissues to allappropriatedepartments.

• ​Ensure coding to the highest level of specificityand formaximum reimbursement bythird-partypayers.

• ​Maintain current knowledge of departmental and organizational policies.

• ​Support billing staff in training and ongoing educationwhenrequired​​

• Consistentlyprofessionallyrepresentsthe company. 

• Maintainseffective workingrelationshipsandcooperateswith all personnel in the Company.

• Adheres to the Company’s compliance requirements asstatedin the policy and procedure manual and all other related policies.

• Performsother duties and responsibilities as assigned

Qualification Requirements 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilityrequired. Reasonableaccommodationmay be made to enable individuals with disabilities to perform essential functions.

• ​​​Provide the highest level of professionalism, responsiveness, andcommunication.

• ​Mustpossessthe ability to multi-taskandfrequentlychange direction.

• ​Proficient in the use ofa computerand other devices.

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Education and/or Experience 

• ​​High school diploma or GED

• ​Ability to work independently and within a multidisciplinary team. 

• ​Basic math, bookkeeping,and accounting skills

• ​1-3 years of experience in medical billing.

• ​Understanding of industry-specific policies, such as HIPAA regulations forhealthcare

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Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. 

While performing the duties of this job, the employeeis regularly required totalk or hear. The employeeis regularly required tostand, walk, sit, climb stairs, use hands to grasp, handle,or feel objects, tools, orcontrols;and reach with hands and arms. 

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Comments

This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job.It is not an exhaustive list of all duties, responsibilities,and requirements of a person so classified. Other functions may be assigned,and managementretainsthe right to add or change the duties at any time.