Overview

PANTHERx is the link between rare disease specialists and patients that provides people living with rare and devastating diseases the best that medicine can offer. Our team is proud to be able to serve patient needs by filling gaps that exist among biopharma, prescribers, and payers. Everyday we are filling prescriptions, filing insurance paperwork, consulting with physicians, and providing information to our patients and their family regarding medications and related effects. In fact, we are so good at what we do we have received the Patient Choice Award for consecutive years as well as been selected for many years running as an Employer of Choice.

If you are as compassionate about patient care as we are and you long to be part of a growing organization where employees enjoy their roles as much as working with each other, then look no further! BEGIN DOING YOUR BEST WORK BY JOINING OUR TEAM!

Position Purpose:

The primary role of the Billing Operations Specialist is to maintain error queues related to billing to meet service level metrics and ensure proper billing. You will work closely with our patients, the internal team and our external payers to resolve billing issues and maintain accurate payments.

• Maintain low volume in assigned error queues within the financial management system to aid in meeting service level metrics and ensure proper billing
• Collaborate with internal team and external client to research and resolve any disputes or discrepancies in billed amounts and/or payment transactions
• Prepare timely and accurate billing for external clients
• Document all collections efforts and transaction records
• Reconcile member accounts as needed
• Prepare bad debt write-off as needed
• Research and process refunds as needed

Required Qualifications:

• High school diploma or equivalent.
• Experience with transaction processing, data reconciliation, membership records, billing/collections, customer service, or business administrative experience.
• Basic Microsoft Excel knowledge.
• Strong communication skills, including written, verbal and active listening.
• Great customer service skills, including interpersonal conversation, patience and empathy.
• Good problem solving and critical thinking skills.
• Knowledge of industry best practices.
• Basic math skills.
• Organization, time management and prioritization abilities.
• Ability to be discreet and maintain the confidentiality of patient information.
• Effective computer skills to input data into account management software in a timely and efficient manner.
• Understanding of industry-specific policies, such as HIPAA regulations for health care.

Preferred Qualifications

• Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy
• Experience with CPR+

Work Environment

PANTHERx Rare Pharmacy offers flexibility only to eligible employees to work hybrid or remotely without compromising work performance, productivity, or team collaboration. This role routinely uses standard office equipment such as computers and phones.

Physical Demands
While performing the duties of this job, the employee is regularly required to talk, hear, and see. The employee frequently is required to sit, stand, and walk; use hands and fingers, handle or feel; reach with hands and arms and see a computer screen. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.