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Certified Medicare D Biller

workfromhome • Posted 6 days ago
Remote Full Time Office and Administrative Support Occupations

To support the Clinical Hub, the full-time Certified Medicare D Biller will maintain communication with healthcare facilities and insurance plans, manage prior authorization requests, and research payment denials, all while working remotely within Central Time Zone hours. Key responsibilities Act as a resource for facilities in obtaining necessary documentation and following up on outstanding claims Make outgoing calls to facilities, plans, and physician's offices to secure prior authorizations Coordinate with Client Billing Service Offices and pharmacy directors to resolve customer issues effectively Required qualifications High School Diploma; Associate's degree preferred, Bachelor's degree a plus Certified Pharmacy Technician or Medical Assistant Certification desired Experience in third-party medical billing Knowledge of EMAR systems Understanding of insurance and Medicaid formularies and prior authorization processes

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