Billing Coordinator – Specialty Pharmacy

Job not on LinkedIn

🔥 15 hours ago

⛰️ Colorado, Florida – Remote

⛰️ Colorado – Remote 🐊 Florida – Remote

💵 $22 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 0%

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WellDyne

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1990

🏥 Healthcare

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Healthcare • Pharmaceuticals • Healthcare Insurance

WellDyne is a pharmacy benefit management (PBM) company that provides specialty pharmacy services, prescription discount solutions, utilization management, mail-order and central fill pharmacy operations, and outsourced pharmacy solutions. The company emphasizes clinical programs, adherence initiatives, data analytics, and personalized engagement to reduce drug costs and improve outcomes, particularly for high-cost specialty medications. With about 25 years of experience and locations in Lakeland, FL and Centennial, CO, WellDyne positions itself as an alternative to traditional PBM models by offering flexible plan design, dedicated account management, and industry-focused clinical expertise.

📋 Description

• Manage the adjudication inboxes • Assist with medical claims billing • Troubleshoot orders with rejected status, including refill too soon, dose changes, duplicate claims, and eligibility issues • Reconcile the master claims queue • Assist with billing projects, including Member AR report and COGS • Ensure insurance information is accurate for correct adjudication • Assist patients with re-enrollment of copay cards and patient assistance plans • Communicate with patient assistance plans when necessary to obtain payment • Assist with timely initiation and resolution of prior authorizations • Work with appropriate staff members to resolve claims issues • Follow and aid in enforcement of company policies and procedures • Perform other duties as assigned • Work in a typical office environment with prolonged sitting and standing in front of a computer • Operate standard computer, phone, and office equipment • May work long hours and handle occasional high-stress customer, client, and employee interactions

🎯 Requirements

• High School Diploma or equivalent • Certified and Registered Pharmacy Technician, (Colorado) in good standing required • Registered with the State of Florida (Florida techs only) in good standing required • Certification preferred for Florida pharmacy technicians • Previous Prior Authorization or Claims experience is preferred • Demonstrates a high degree of personal responsibility regarding accuracy and quality of work • Demonstrates ability to work effectively and maintain expected productivity • Ensures accuracy of information being provided to Management for review • Schedules own time based on priorities • Demonstrates Excellent customer service and Professionalism • Ability to multi-task • Ability to communicate effectively, patiently, and courteously • Ability to work in a high pace, stressful environment • Should be independent and self-motivated • Maintains a good attendance record • Respect and maintain confidentiality guidelines of HIPAA