Billing Representative- Remote

September 12, 2026

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At Specialty Rx, Inc., our mission is to provide exceptional service guided by our CARE culture — Commitment, Accountability, Respect, and Excellence. The highest priority of each employee is to deliver top-quality service to our customers and colleagues, whether directly or through supporting others. This job description outlines the primary responsibilities through which employees embody our CARE values and contribute to the company’s mission of outstanding service.

Responsibilities:

Perform duties assigned by the Billing Supervisor
Research and establish patient eligibility coverage with insurance providers (state and private)
Determine and process insurance rejections in accordance with the daily report
Maintain and update patient billing and insurance information in the system
Submit prior authorizations for State insurance
Interact with insurance company on daily basis, i.e., overrides, rejections, and insurance updates
Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM, if necessary
Follow up and resolved pending billing issues

Qualifications:

H.S. diploma or equivalent
Third party rejections required
Experience in Long Term Care Pharmacy preferred
Experience in New York Pharmacy billing claims preferred
Courteous and polite phone skills
Computer literate
Previous experience in pharmacy
Must be able to work independently and as a team
Ability to multitask and work in a fast-paced environment a must
Frameworks/ECM knowledge a plus
Must be detail oriented

Schedule:

Flexible with the hours and the ability to work nights and weekends is a must.

8am - 4pm
9am - 5pm
11am - 7pm
12pm - 8pm
3pm - 11pm
4pm - 12am

EEO Statement, SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state, or local law.

EO/Minorities/Females/Disabled/Veterans

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