Job Title 

Billing Specialist

Location

Remote/Nationwide, USA

Employee Type

Employee

Working Hours Per Week

40

AtВ 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.В 

SummaryВ 

UnderВ theВ general supervision ofВ Management,В theВ Billing SpecialistВ is responsibleВ forВ assistingВ the billing team in ensuringВ accurateВ billing,В timelyВ submission of electronic and/or paper claims,В solving for unique billing requirements, resolving claims due to billing requirements,В and documenting related account activities.В В EnsureВ that all billing is doneВ promptlyВ and meetsВ month-endВ expectations.В 

Pay Range: $25/hr - $30/hr (DOE)

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 ResponsibilitiesВ В 

includeВ the following.В Other duties may beВ assigned,В as necessary.В 

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

• ​Ensure that coding on claimsВ follows payer guidance.В В В 

• ​EnsureВ accurateВ billed and expected chargesВ do not exceed usual and customary or contractual pricing whereВ indicated.В 

• ​Create andВ submitВ primary and secondary pharmacy and medical claimsВ promptly.В 

• ​Reviewing andВ identifyingВ claims pricing discrepancies based on updates/changes to fee schedules.В 

• ​CommunicateВ anyВ billing-relatedВ issues to allВ appropriateВ departments.В 

• ​Ensure coding to the highest level of specificityВ and forВ maximum reimbursement byВ third-partyВ payers.В 

• ​Maintain current knowledge of departmental and organizational policies.В В 

• ​Support billing staff in training and ongoing educationВ whenВ required​​ 

• ConsistentlyВ professionallyВ representsВ the company.В В 

• MaintainsВ effective workingВ relationshipsВ andВ cooperatesВ with all personnel in the Company.В 

• Adheres to the Company’s compliance requirements asВ statedВ in the policy and procedure manual and all other related policies.В 

• PerformsВ other duties and responsibilities as assignedВ 

Qualification RequirementsВ 

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 abilityВ required. ReasonableВ accommodationВ may be made to enable individuals with disabilities to perform essential functions.В 

• ​​​Provide the highest level of professionalism, responsiveness, andВ communication.В 

• ​MustВ possessВ the ability to multi-taskВ andВ frequentlyВ change direction.В 

• ​Proficient in the use ofВ a computerВ and other devices.В В 

​​​ 

Education and/or ExperienceВ 

• ​​High school diploma or GEDВ 

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

• ​Basic math, bookkeeping,В and accounting skillsВ 

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

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

​​ 

Physical DemandsВ 

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.В В 

While performing the duties of this job, the employeeВ is regularly required toВ talk or hear. The employeeВ is regularly required toВ stand, walk, sit, climb stairs, use hands to grasp, handle,В or feel objects, tools, orВ controls;В and reach with hands and arms.В В 

Work EnvironmentВ 

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.В В 

CommentsВ 

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

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

CSI Pharmacy is an Equal Opportunity Employer