107 pharmacy medical billing specialist jobs found

Make a difference! A diagnosis unlike any other, deserves a pharmacy unlike any other. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. We are hiring a Pharmacy Medical Billing Specialist at our Onco360 location in Louisville, KY. Starting salary at $23 an hour. 8:30-5 EST Monday through Friday. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer...

Position: Pharmacy Medical Billing Specialist Location: Buffalo, NY Make a difference! A diagnosis unlike any other, deserves a pharmacy unlike any other. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. We are hiring a Pharmacy Medical Billing Specialist at our Onco360 location in Buffalo, NY. Starting salary at $23 an hour. 8:30-5 EST Monday through Friday. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities...

Position: Pharmacy Medical Billing Specialist Location: Houston, TX Job Id: 5473 # of Openings: 1 Make a difference! A diagnosis unlike any other, deserves a pharmacy unlike any other. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. We are hiring a Pharmacy Medical Billing Specialist at our Onco360 location in Houston, TX. Starting salary at $23 an hour. 8:30-5 EST Monday through Friday. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides...

Make a difference! A diagnosis unlike any other, deserves a pharmacy unlike any other. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. We are hiring a Pharmacy Medical Billing Specialist at our Onco360 location in Woodridge, IL. Starting salary at $23 an hour. 8:30-5 EST Monday through Friday. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer a variety of...

Onco360 is seeking a Pharmacy Medical Billing Specialist in Buffalo, NY. The role focuses on researching billing policies, processing claims, and ensuring accuracy across payer types while maintaining patient privacy and compliance. The ideal candidate will have 1–3 years of medical or specialty pharmacy infusion billing experience, strong communication skills, and a high school diploma or GED, with preference for an associate degree and PTCB/CPhT certs. #J-18808-Ljbffr

Onco360 Oncology Pharmacy in Louisville, KY is hiring a Pharmacy Medical Billing Specialist to perform end‑to‑end billing of IV and oral therapies on the CPR+ platform, working 8:30-5 EST, Monday through Friday. The role requires HCPC coding, ICD-10, Jcodes, CPT knowledge and strong claim accuracy. The ideal candidate has 1–3 years of Medical or Specialty Pharmacy Infusion Billing, excellent communication, and detail‑oriented work ethic; benefits include 401k with match, PTO, holidays, tuition #J-18808-Ljbffr

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Outpatient Coding Compliance AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. Location:...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. Location:...

Medical Coding Specialist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States About Judi Health Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. Location:...

Job Title Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate, supervise, and respond to third-party patient bill audits. Perform patient-requested audits in a timely manner. Perform random quality audits as schedule permits. Assist Patient Account personnel with patient questions about itemized charges. Maintain reporting systems for audit activities and identify patterns and trends in results. Act as a resource for all hospital departments regarding charging questions and issues. Routinely review inpatient and outpatient records for appropriate coding and charging. Provide educational sessions for revenue-producing departments regarding appropriate charging processes and procedures. Work cooperatively with the Patient Accounting staff and other healthcare professionals in obtaining correct HCPCS codes and modifiers. Assist the Health...

Job Description Join Northern Pharmacy, a trusted name in healthcare for over 80 years, as a Medical Equipment Customer Service and Billing Supervisor . In this role, you’ll lead a dedicated team of customer service representatives and product specialists to provide essential medical equipment services to our valued community. With your expertise in DME billing, insurance, and customer service, you’ll ensure that our customers receive excellent, compassionate support and accessible healthcare solutions. We're looking for an energetic and outgoing individual who can maintain a positive attitude and provide compassionate care to every client, even during high-volume periods. Patience, calmness, and organizational skills are key attributes we seek in potential candidates. We're excited to offer sign-on bonuses to successful candidates who join our team! About Us Northern Pharmacy has been serving our community for eight decades, committed to delivering personalized, high-quality...

Northern Pharmacy in Parkville, MD seeks a Medical Equipment Customer Service and Billing Supervisor to lead the Customer Service and Product Specialist teams, overseeing DME billing and insurance processes with a focus on accuracy and compassionate care. You will drive process improvements, ensure regulatory compliance, mentor staff, and collaborate with departments to support new programs while delivering excellent service to our community. #J-18808-Ljbffr

Who We Are Advantage is redefining what it means to be a pharmacy for people with serious behavioral health conditions. We specialize in serving patients with schizophrenia, bipolar disorder, substance use disorder, and related challenges—patients who are often overlooked by traditional healthcare systems. We provide advanced pharmacy services and wraparound care that ensure patients can access and stay on complex medications. We offer in-home and community-based injection support, help patients navigate insurance and prior authorizations, and work closely with providers to overcome barriers to treatment. By strengthening connections between patients, care teams, and support systems, we make it possible for people living with behavioral health challenges to achieve stability and long-term success. Job Overview The Compliance & Billing Specialist supports the organization's pharmacy compliance, licensing, credentialing, and reimbursement functions by ensuring regulatory...

Job Description Job Description Company Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is...

Overview Exponent is hiring medical billers, coders, prior-authorization and insurance-verification specialists, and pharmacy technicians as subject matter experts for a healthcare technology client. You will evaluate revenue-cycle and authorization workflows in a simulated environment and document where the environment differs from real-world practice. This is a remote, part-time, contract engagement. No protected health information is involved. Responsibilities Complete assigned workflows in a simulated environment: eligibility and benefits verification, authorization submission and appeals, claim generation and scrubbing, remittance review, charge entry, coding and abstracting, and fax routing Identify steps that fail, behave differently from the production system, or are missing Document findings in structured forms and short written notes Attend a remote onboarding session and periodic check-ins Qualifications 5+ years in revenue cycle, coding, prior...

Medical Billing Specialist A leader in integrated Mental Healthcare for over 20 years with Pharmacy, Primary Care, Aesthetics and Research divisions all in one location, where ideas and opinions are valued and expected, seeks a versatile and compassionate candidate to join our Billing Team in an innovative culture, putting the patient's health and well-being first. Core Values: Drive | Passion | Humility | Openness | Discipline If you have a passion for the highest standard of patient care, enjoy a fast-paced full cycle workflow, and an innate learning desire that resonates our core values, we would like to meet you. Ultimately, you will play an important role on our team as a trusted resource for patient healthcare solutions, clinical support, and technical assistance to our providers. Talent: Eager, determined to achieve success, and committed to making a difference every day. Compassionate and care deeply about our patients and their experience. Love what you do and where you...

Medical Billing Specialist, Revenue Cycle, Days, Full‑time(Business Office) Harrison Memorial Hospital (HMH), located in Cynthiana, Kentucky, is a 61‑bed, independent, non‑profit healthcare facility dedicated to providing high‑quality medical services to our community since 1906. We are accredited by The Joint Commission and certified by Medicare and Medicaid, reflecting our commitment to excellence in patient care. A Growing Network of Care HMH is proud to offer comprehensive healthcare services through our diverse facilities and programs, including: Harrison Memorial Hospital – A leading independent, not‑for‑profit hospital, providing cutting‑edge medical care with a patient‑centered approach. Rural Health Clinics (RHCs) – Bringing quality primary care closer to our community, ensuring access to essential healthcare services in rural areas. EMS Office – A highly trained Emergency Medical Services team, delivering rapid response and lifesaving care when it matters most....

Medical Billing Specialist - Accounts Receivable JOB TITLE: MEDICAL BILLING SPECIALIST – ACCOUNTS RECEIVABLE JOB SUMMARY: At Nebraska Hematology-Oncology, we are committed to providing exceptional patient care by ensuring accurate and timely reimbursement for services provided. The Patient Financial Services team works collaboratively with patients, providers, insurance carriers, and internal departments to promote financial stewardship while supporting our mission of compassionate cancer care. The Medical Billing Specialist – Accounts Receivable is responsible for the timely follow-up and resolution of outstanding insurance and patient accounts. This position manages accounts receivable by reviewing unpaid, denied, rejected, and underpaid claims, pursuing reimbursement through payer follow-up and appeals, and ensuring accurate documentation of all account activity. The Medical Billing Specialist works collaboratively with clinical and administrative staff to maximize...

Grand Rapids, Michigan, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Guardian Pharmacy of Michigan, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Grand Rapids, Michigan. Why Guardian Pharmacy of Michigan? We’re reimagining medication management and transforming care. Who We Are and What We’re About Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and...

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an...

Job Description Job Description TTF is recruiting for a Medical / Behavioral Revenue Cycle representative for a well-respected healthcare organization located in Central Phoenix, AZ. This is a Monday – Friday, full time position.   Qualified candidates will have previous experience Billing out claims, Following up with all Payors, posting charges, calculating allowables, and working in a clearinghouse. Candidates must have previous healthcare experience. TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies and all other healthcare fields. We place candidates in the PFS field with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections...

Location: Montgomery, Alabama, United StatesSalary: $72,800 to $130,000 annuallyCompany: UnitedHealth GroupPosted: 2026-09-01Outpatient Coding Compliance AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding...