Billing Specialist - Pharmacy Benefit Claims (Hybrid)

Job DescriptionJob Description

A-Line Staffing is now hiring Billing Specialists (Hybrid – Monroeville, PA). This role supports one of the nation’s largest Pharmacy Benefit Managers, a Fortune 5 company, with excellent career growth potential.

Billing Specialist Compensation

• Pay for this position is $20.34/hour.

Billing Specialist Highlights

• Contract assignment lasting several months with potential to extend or convert to full-time based on attendance, performance, and business needs.
• Hybrid schedule: Monday–Friday, 8:00 AM – 4:30 PM.
• Must live within 1 hour of Monroeville, PA.
• Required onsite 4 times per month (Tuesdays and Thursdays, every other week).
• Flexibility required to come onsite for business needs.

Billing Specialist Responsibilities

• Ensure timely and accurate submission of pharmacy benefit claims.
• Prepare, qualify, and submit claims to Medicare Part B, Major Medical, and Medicaid.
• Communicate with LTC facility staff, pharmacy operations, prescriber offices, third-party payers, patients, and claim processors.
• Utilize multiple operating systems and web-based programs to retrieve documentation and support claim resolution.
• Resolve accounts receivable claims while maintaining compliance with regulations.

Billing Specialist Requirements

• High School Diploma or GED (verifiable) required.
• 0–2 years of experience in pharmacy billing, healthcare reimbursement, or related work.
• Experience working with healthcare reimbursement systems .
• Strong computer skills: Microsoft Word, Excel, Outlook, and typing proficiency.
• Excellent communication, interpersonal, and organizational skills.
• Ability to work in a fast-paced, rapidly changing environment.
• Working knowledge of medical terminology.
• Customer service skills and ability to work in a team environment.

How to Apply

If you think this Billing Specialist I role is a good fit for you, please reach out! You can apply directly to this posting.