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Billing Adjustment Specialist
Billing Adjustment SpecialistRose International • Monroeville, PA, United States
No longer accepting applications
Billing Adjustment Specialist

Billing Adjustment Specialist

Rose International • Monroeville, PA, United States
9 days ago
Job type
  • Full-time
  • Temporary
Job description

Date Posted : 10 / 22 / 2025

Hiring Organization : Rose International

Position Number : 490359

Industry : Pharmaceutical / Healthcare

Job Title : Billing Adjustment Specialist

Job Location : Monroeville, PA, USA, 15146

Work Model : Hybrid

Work Model Details : Onsite Tuesdays and Thursdays (every other week)

Shift : Monday-Friday, 8 : 00 AM-4 : 30 PM EST

Employment Type : Temporary

FT / PT : Full-Time

Estimated Duration (In months) : 7

Min Hourly Rate ($) : 18.00

Max Hourly Rate ($) : 19.50

Must Have Skills / Attributes : Billing, Customer Service, MS Excel

Experience Desired : 1 year of Healthcare Insurance Billing or related experience. (1+ yrs); Experience in insurance billing, collections, or healthcare reimbursement systems (1+ yrs)

Required Minimum Education : High School Diploma or equivalent

  • C2C is not available

Job Description

Required Education :

  • High school diploma or GED

    • Required Qualifications / Skills / Experience :

  • Minimum 1 year of healthcare insurance billing or related experience
  • Proficient in Microsoft Office products (Excel, Outlook, Word)

    • Preferred Qualifications / Skills / Experience :

  • Insurance billing or collections experience
  • Customer service experience in a healthcare environment
  • Experience working in a healthcare reimbursement system
  • Effective team collaboration and customer service skills
  • Strong attention to detail and analytical skills
  • Professional communication skills with clients and stakeholders

    • Biller Adjustment Specialist Overview :

    The Biller Adjustment Specialist ensures timely and accurate billing for outstanding claims while delivering excellent customer service to patients, healthcare professionals, and insurance carriers. This role reviews requests for claim reconciliation and processes appropriate adjustments. As part of the billing and reimbursement team, the specialist works in a fast-paced, team-oriented environment to maintain accurate billing to insurance providers. This position is located in Monroeville, PA, offers free parking, and provides all tools and resources necessary for success in a collaborative environment.

    Job Duties :

  • Perform third-party insurance claim billing associated with medication dispensing according to payer requirements
  • Transmit or submit claims (paper / electronic) to insurance payors for reimbursement
  • Resolve insurance issues and patient concerns resulting from incorrect or incomplete information, therapy changes, or pharmacy / shipping errors
  • Maintain chronological notes detailing actions taken to resolve billing edits
  • Maintain patient demographic and insurance information in billing and data collection systems, including reports, work queues, and diversions
  • Research and respond to insurance companies and governmental payors regarding billing issues via phone, internet, or written correspondence
  • Contact patients, physicians’ offices, or insurance carriers as needed to expedite claim processing
  • Process adjustments based on information from work queues or internal requests

    • Estimated Start Date :

  • 11 / 03 / 2025

    • Parking :

  • Free parking provided

    • Work Schedule :

  • Monday–Friday, 8 : 00 AM–4 : 30 PM EST
  • Hybrid position; requires schedule flexibility (onsite Tuesdays and Thursdays (every other week)

    • Specific Details to Call Attention To :

  • Must reside within a 1-hour commute of Monroeville, PA
  • Experience in healthcare insurance billing required
  • Only those lawfully authorized to work in the designated country associated with the position will be considered.
  • Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.

    • Benefits :

    For information and details on employment benefits offered with this position, please visit here. Should you have any questions / concerns, please contact our HR Department via our secure website.

    California Pay Equity :

    For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

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    Billing Specialist • Monroeville, PA, United States