Bilingual Reconciliation Specialist

Pharmacy First Overland Park , KS 66204

Posted 1 week ago

Pharmacy First is looking for a talented bilingual professional to assist the Reconciliation team by comparing billing claims against actual receipts, research discrepancies, and enact resolutions toward securement of all monies due to our clientele.

The Bilingual Reconciliation Specialist responsibilities include:

  • Responsible for incoming calls and e-mails from retail pharmacies and providers related to reconciliation providing problem resolution when necessary in a timely and professional manner
  • Tracks daily electronic remittance from payers and validates same against billed claims
  • Contacts payers and pharmacies to discuss discrepancies and resolutions
  • Documents as necessary all client contact discussions using the intervention process flow
  • Works regularly on open interventions, researching and resolving as quickly and professionally as possible
  • Identifies issues that require additional investigation, evaluation and/or escalation to management; ensure appropriate follow-up with payers and pharmacies
Desired

Skills:
  • Ability to analyze billing statements and compares receipts to statements
  • Effective analytical, oral and written communication and organizational skills
  • Proven success in customer service and client support
  • Experience with managing projects and tasks in an efficient manner
  • Systems and software proficiency, including Outlook, Word, Excel and Access

Basic Qualifications:

  • High School Diploma or GED
  • Must be able to read, write and speak Spanish fluently
  • One year previous customer service experience required
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Bilingual Reconciliation Specialist

Pharmacy First