Medical Billing Representative

Join to apply for the Medical Billing Representative role at Pharma Cord

10 months ago Be among the first 25 applicants

Join to apply for the Medical Billing Representative role at Pharma Cord

Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official

Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official and/or email address regarding next steps in our interview process.

Please Note:

• Pharma Cord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an  or  email address, or through our scheduling platform, Calendly.
• We will never request your bank account information at any stage of the hiring process.
• We will never send a check (electronic or physical) to purchase home office equipment.

• Assist with determining coverage and access options available for a specific medication or procedure
• Collect and analyze information and resources related to local, regional or national payer coverage or claim submission process
• Clearly articulate complex reimbursement and billing information to HCPs, their office staff and/or patients to ensure understanding of coverage benefit and financial responsibility
• Educate provider offices on local and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes
• Educate offices about the medical necessity requirements for coverage and provide education support for the office to submit pre-determinations, appeals and/or peer to peer reviews with payors, as applicable
• Assist offices to understand payor denied or underpaid claims and provide education, as applicable, for the office to resolve of rejected, denied or underpaid claims
• Educate HCPs, their office staff and/or patients on appropriate resources for questions about co-pay, coinsurance, out of pocket costs, deductibles and other financial assistance or coverage related questions
• Serve as a patient advocate and enhance the customer experience for all callers by acting as a single point of contact and a compassionate voice for all providers and patients

• Detail oriented
• Professional telephone etiquette
• Basic computer knowledge
• Ability to multitask effectively
• Ability to recognize emotions and their effects
• Sureness about self-worth and capabilities
• Manage disruptive impulses
• Maintain standards of honesty and integrity
• Take responsibility for performance
• Be adaptable and handle change with flexibility
• Be innovative and open to new ideas
• Achievement driven; constant striving to improve or to meet a standard of excellence
• Align with the goals of the group or organization
• Ready to take initiative and act on opportunities
• Be optimistic and pursue goals persistently despite obstacles and setbacks
• Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners
• Communicate clearly and send clear messages
• Ability to consume complex coverage policy changes and convert complexity to educate lay persons
• Adaptability to change
• Personal initiative and commitment to team and organizational goals
• Ability to work effectively within a team
• A positive attitude!

• Minimum of (two) 2 years’ of billing and coding experience is preferred
• Bachelor’s degree in arts and sciences, social work, public health administration or a related field preferred
• Billing and coding diploma or certificate…