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Medical Biller - Remote

73% Flex
Remote: 
Full Remote
Contract: 
Experience: 
Junior (1-2 years)
Work from: 
Illinois (USA)

Offer summary

Qualifications:

High School Diploma or equivalent, Bilingual in Spanish/English.

Key responsabilities:

  • Submit accurate invoices to payers
  • Verify services and products authorization

Job description

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Your missions

Description

About Orsini Specialty Pharmacy   
"Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™."   
   
Our Mission   
Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.    
   
LIVE IT Values   
At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.    
   
Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First   
   
Position Summary
The Medical Biller will ensure proper and efficient billing to all Major Medical payers for Home Infusion and Specialty product lines. The biller will also ensure the accuracy of their work and ensures that performance goals are met. They will also assist with problem solving issues with high dollar AR accounts and adhere to regulatory and payer guidelines for billing. Interfaces with a variety of internal and external customers to ensure the best patient experience in the most efficient manner. Ensures that all HIPAA, policies/procedures, and compliance requirements are met within the role.

Required Knowledge, Skills & Training
   
  • High School Diploma or equivalent from accredited school required. 
  • Must be Bilingual in Spanish/English 
  • Minimum 1-year relevant experience required.
  • Previous pharmacy, home infusion, and specialty pharmacy drug billing preferred.
  • Proficiency with Microsoft Office (Word, Excel).
  • Excellent internal and external customer service skills.
  • Ability to work in fast-paced environment.
  • Ability to prioritize workload.
  • Must be extremely detail oriented.
Essential Job Duties   
  • Submit timely, accurate invoices to payer for products and services provided.
  • Correctly determine quantities and prices for nursing services.
  • Verify that the services and products are correctly authorized, and that required documentation is on file prior to billing. 
  • Ensure invoices are submitted for services and products that are properly ordered and confirmed as provided.
  • Ensure all required documentation for billing is completed and accurate prior to claim submission.
  • Adhere to Regulatory/Payor Guidelines and policies/procedures.
Employee Benefits   
   
  • BCBSL Medical
  • Delta Dental
  • EyeMed Vision
  • 401k
  • Accident & Critical Illness
  • Life Insurance
  • PTO, Holiday Pay, and Floating Holidays
  • Tuition Reimbursement

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Pharmaceuticals
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Soft Skills

  • Ability to Work in a Fast-Paced Environment
  • Detail-Oriented
  • Problem Solving
  • Effective Communication

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