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# Biller Specialist

- **Company:** Pharmacy Care Usa Of Addison, LLC
- **Location:** Hickory, NC, United States
- **Contract:** Permanent contract
- **Skills:** Microsoft Word, Microsoft Excel, Medical Software
- **Published:** October 1, 2026
- **Apply:** https://www.juju.com/job/16_ad02bfb31

## About the Role

* High School Diploma or Equivalent
 * Ability to learn medical terminology and healthcare software applications.
 * Ability to do basic mathematics
 * Ability to work independently and stay on task
 * Ability to get to the job site
 * Ability to work under stressful conditions
 * Experience and Knowledge with Excel and Word
 * Excellent Communication Skills
 * In all activities comply with accreditation, legal, regulatory, and safety requirements., * Must be able to routinely use standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Must be able to constantly operate a computer and other office equipment such as calculators, copy machines and printers up to 100% of the time;
 * Regularly required to talk and hear in order to communicate effectively over the phone and in person;
 * Must be able to see 100% of the time, with or without correction, to read information on a computer or calculator screen;
 * This position is largely sedentary. Standing, walking, bending, kneeling, and stooping may rarely be required;
 * Must be able to tolerate normal office environment.

## Description

* Understands the terms and fee schedule for all contracts for which invoices are submitted.
 * Correctly determines quantities and prices for drugs billed.
 * Verifies that the services and products are correctly authorized and that required documentation is on file.
 * Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
 * Verifies that payments received are correct according to the fee schedule.
 * Identifies secondary balances, patient balances and transfers them accordingly to the appropriate payer.
 * Identifies all bad debt write offs, and A/R adjustments. Initiates Write Off/Adjustment Form Policies and Procedures to assure appropriate documentation is attached to the request and that all levels of approval are followed per Policies and Procedures.
 * Ensures that secondary bills and patient invoices are mailed according to Policies and Procedures.
 * Notifies the Manager if there are overpayments and/or duplicate payments for the same service by submitting a refund request.
 * Records all billing activity in the system per Policies and Procedures.
 * Follow up calls to verify that claims submitted were received and are in processing.
 * Takes the appropriate steps to assure correct and timely filing on all claims that are not on file with the payer after the initial billing.
 * Generates and mails statements and collections letters per Policies and Procedures.
 * Follows-up on all denials within 24 hours of receipt and files reviews, appeals when appropriate.
 * Performs collection activity on all assigned claims at a minimum of every 30 days.
 * Follows collection and follow up procedures as established in the Policies and Procedures.
 * Performs Technical Billing reviews on all claims prior to submission per Policies and Procedures.
 * Performs Full Claim audits as defined in the Policies and Procedures.
 * Will comply with all Corporate Initiatives and utilize provided tools/resources as appropriate.
 * Other duties as assigned.