• Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers). • Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules. • Creates and submits secondary electronic pharmacy and medical claims in a timely manner. • Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing. • Monitors billing requirements pursuant to contracts with third party payers or government programs. • Answer insurance/billing questions from branch staff and help educate. • Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims. • Perform routine revenue review of claims billed within the current month. • Answering incoming calls and triage if necessary. • Create claim batches and process them via electronic submission. • Manually process any claims that are not eligible for electronic billing. • Identify any claims that need attention, make corrections, and resubmit. • Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers. • Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues. • Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc. • Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely. • Effectively utilize time and resources to meet performance goals. • Provides exceptional Customer service to internal and external customers. • Ensures compliance with federal, state, and local governments, third party contracts, and company policies. • Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager. • Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information. • Maintain current knowledge of departmental and organizational policies.