Infusion Pharmacy Collections/Billing Specialist

Apex Infusion Pharmacy is seeking an experienced and motivated Accounts Receivable Billing and Collections Specialist to join their dynamic team. This role involves managing the Ready to Bill unbilled revenue, working proactively with payer billing to ensure accurate and timely payments, handling contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or responsible parties for services rendered.

Key responsibilities include managing daily Ready to Bill queue with quality assurance, meeting company goals for cash collections and aging receivables, electronic adjudication of prescription benefit claims including Part D, performing billing and collections follow-ups with insurance companies, processing tickets timely, conducting billing to secure timely payment, reviewing delivery tickets for accuracy, submitting secondary billing with appropriate documentation, researching payer updates, working within deadlines including occasionally overtime, and completing other tasks or special projects as needed.

Requirements include a High School Diploma or equivalent (GED), excellent interpersonal, communication, and organizational skills, ability to prioritize, problem solve, and multitask, and at least 1-2 years of experience in Infusion Pharmacy billing and collections with knowledge of managed care, commercial insurance, and Medicare reimbursement. Knowledge of CPR+ software system is required.