Job Description

Pharmacy Billing Specialist

WRS Group is a medical device company headquartered in Ann Arbor, MI . We offer world?class multi?modal post?operative pain management for orthopedic excellence, focusing on systems that improve patient recovery and practice management while combating the opioid epidemic. The position is full?time with hybrid work; we prefer candidates located in Michigan.

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Parental leave
• Vision insurance

What Youll Do

• Prepare pharmaceutical bills and invoices, and document amounts due to medical procedures and services using correct billing codes.
• Communicate with account managers about areas of concern with medications that are not processing appropriately.
• Field inbound/outbound calls to/from insurance companies.
• Investigate claim rejections.
• Distribute and document information obtained via phone, fax, and email.
• Verify patient information and perform data entry with a focus on accuracy.
• Collect and review referrals and pre?authorizations by communicating with nurse case managers and adjusters via phone.
• Investigate and appeal denied claims.
• Audit records to ensure proper submission of services prior to submitting a claim to the payor.
• Collaborate with the team to improve processes and efficiencies.
• Ensure compliance with state and federal regulations.
• Follow up on EOBs.
• Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation.

What Youll Bring

• High School Diploma (or equivalent); college degree preferred.
• 1?3 years of experience in medical billing.
• A positive approach to daily tasks and a strong work ethic.
• Strong analytical skills, a solution?oriented approach, with excellent follow?up skills, strong time management, a sense of urgency, and the ability to shift gears frequently throughout the day.
• Excellent verbal and written communication skills.
• Strong typing skills.
• Prefer experience with ICD?10 and HCPC coding.

Job Details

Job Type: Full?time

Job Location: Ann Arbor, MI

Flexible work from home options available.

Compensation: $45,000.00 per year

Equal Opportunity Statement

We are an equal?opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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