Philanthropic Operations Specialist providing project management and customer service support to donors and funders. Coordinates across teams including Grants Management, Finance, and Philanthropy in Los Angeles.
About the role
- Billing Operations Specialist managing payer accounts and collections at PANTHERx Rare Pharmacy. Collaborating with Pharmacy Benefit Managers to ensure accurate billing and collections processes.
Responsibilities
- Bills specialty pharmacy NCPDP (National Council for Prescription Drug Programs) claims.
- Makes collection calls and research on past due assigned accounts.
- Communicates with PBM for various rejections or overrides.
- Researches and processes refunds as required.
- Tracks denials trending.
- Prepares Bad Debt Write-Offs as required.
- Reconciles member accounts as needed.
- Handles multiple tasks and meets deadlines.
- Other duties as assigned within scope of practice.
Requirements
- Bachelor’s degree in business or related field required.
- Equivalent work experience may substitute education requirements.
- Detailed understanding of Pharmacy billing/collections practices with all payer types.
- Excellent oral and written communication skills communicating effectively with all levels of management.
- Strong problem-solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make appropriate and timely decisions.
- Consistently uses tact, sensitivity, sound judgement, and a professional attitude.
- Knowledge of Microsoft Office Suite, especially Excel, Outlook, and PowerPoint
- 2 years of pharmacy billing/collections knowledge in a specialty pharmacy setting.
Benefits
- Hybrid, remote and flexible on-site work schedules are available, based on the position.
- PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program!
- Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees.
- Of course we offer paid holidays too!
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
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