Infusion Pharmacy Billing Specialist (CPR+ Required)

Located in long beach , CA

Salary: 25-35

Infusion Pharmacy Billing Specialist (CPR+ Required)

Job Type: Full-time
Pay: $25.00 – $35.00 per hour
Schedule: 40 hours per week
Work Location: Onsite

Multiple opportunities available!!!

Job Description

A well-established infusion pharmacy client is seeking experienced Billing Specialists with a strong background in infusion pharmacy billing and CPR+ software. This role focuses on managing unbilled revenue, insurance follow-ups, and ensuring accurate and timely reimbursement from commercial, Medicare, and Medi-Cal payers.

CPR+ experience is required. Infusion pharmacy billing experience is required.

Key Responsibilities

·         Perform electronic adjudication of prescription benefit claims, including Medicare Part D

·         Manage and work the Ready-to-Bill queue daily to ensure timely claim submission

·         Review claims for accuracy and compliance with payer guidelines

·         Perform billing, collections, denial management, and appeals

·         Follow up with insurance companies to resolve unpaid or denied claims

·         Process unworked tickets within 48 hours and resolved tickets within 24 hours

·         Review delivery tickets and submit claims per payer-specific requirements

·         Submit secondary claims with appropriate documentation when applicable

·         Identify trends causing rejections or delays and communicate findings

·         Research payer portals for billing updates and policy changes

·         Support A/R goals, cash collections, and month-end close

·         Work effectively in a fast-paced, deadline-driven environment

·         Overtime may be required to meet departmental goals

 

Qualifications

 

·         High School Diploma or GED required

·         1–2+ years of Infusion Pharmacy billing experience (required)

·         Hands-on experience with CPR+ software (required)

·         Knowledge of commercial insurance, managed care, Medicare, and Medi-Cal

·         Strong attention to detail and organizational skills

·         Ability to multitask, prioritize, and problem-solve

·         Excellent communication and follow-up skills

 

Benefits

·         401(k) with employer matching

·         Health insurance

·         Paid time off

·         Stable, full-time opportunity

·         Competitive hourly pay based on experience

·         Work with an established infusion pharmacy operation

·         Long-term growth potential

 

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