Billing Specialist I โ Healthcare / Pharmacy Billing
Location: Monroeville, PA (Must live within 1 hour commute)
Schedule: MondayโFriday | 8:00 AM โ 5:00 PM
Work Arrangement: Hybrid (Onsite as needed; remote flexibility based on performance and business need)
Job Overview
We are hiring Billing Specialist I professionals to support healthcare and pharmacy billing operations for a leading healthcare organization. This role focuses on timely and accurate processing of medical and pharmacy claims, reimbursement follow-up, and resolution of billing issues while providing excellent customer service.
Candidates must have at least 1 year of healthcare, medical, or pharmacy billing experience and be located within commuting distance of Monroeville, PA.
Key Responsibilities
Prepare, review, and submit claims to Medicare Part B, Medicaid, and commercial insurance payers
Research and resolve unbilled, denied, or rejected claims
Ensure accurate reimbursement and follow up on outstanding balances
Work across multiple internal systems and web-based applications
Retrieve and review billing documentation and supporting records
Communicate with pharmacies, healthcare providers, insurance carriers, and internal teams
Maintain compliance with healthcare billing and reimbursement guidelines
Deliver professional customer service in a team-oriented environment
Required Qualifications
Minimum 1 year of experience in:
Healthcare reimbursement, medical billing, pharmacy billing, or insurance billing
Working with healthcare billing or reimbursement systems
Working knowledge of medical terminology
Strong organizational skills with the ability to prioritize daily tasks
Customer service experience in a professional or healthcare setting
Proficiency in Microsoft Word, Excel, and Outlook
Verifiable High School Diploma or GED (required)