You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Pharmacy Technician who will be responsible for ensuring accurate preparation and submission of pharmacy and medical claims. This role involves billing infusion drugs, processing DME claims, and explaining insurance coverage to patients.

Key Responsibilities

• Prepare and submit pharmacy and medical claims (CMS-1500, electronic submissions).
• Bill infusion drugs under pharmacy (NDC) and medical (HCPCS/J-codes) benefits.
• Process DME and supply claims when applicable.
• Ensure correct coding, units, modifiers, and place-of-service codes.
• Calculate patient responsibility (copays, deductibles, coinsurance).
• Set up payment plans if necessary.
• Explain insurance coverage and billing statements to patients.

Qualifications

• 2+ years of medical billing experience (home infusion or specialty pharmacy preferred).
• Knowledge of HCPCS, CPT, and ICD-10 coding, NDC billing, Medicare Part B & D, and Coordination of Benefits (COB).
• Experience with pharmacy management or revenue cycle software systems.
• Strong attention to detail and problem-solving skills.

Skills

• Strong analytical skills.
• Ability to interpret payer contracts.
• Knowledge of infusion reimbursement models (per diem, per visit, per unit).
• Excellent communication skills.
• Ability to manage high-dollar claims accurately.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.