Pharmacy Billing Specialist

2 weeks ago


Indianapolis, United States Robert Half Full time
Job DescriptionJob Description

We are in search of a Pharmacy Billing Specialist based in Indianapolis, Indiana. This role is in the Healthcare industry and offers a contract employment opportunity. As a Pharmacy Billing Specialist, you will be responsible for handling all aspects of pharmacy claims and ensuring timely collection of payments for pharmacy services.


This opportunity offers on-site/in office training for a 2 weeks, then the job will switch to fully remote. This contract position is slated to last 3-4 months.


Responsibilities:

• Assist in the preparation and submission of pharmacy claims to third party insurance carriers.

• Secure appropriate medical documentation as required by third party insurance carriers.

• Follow up with third party insurance carriers and patients on unpaid claims or balances.

• Research payer regulations and claim guidelines to ensure compliant billing practices.

• Verify insurance coverage for pharmacy services prior to services being rendered.

• Re-verify benefit coverage criteria as needed for claims follow up.

• Ensure accurate and thorough documentation of steps taken to resolve claim issues are recorded in billing software(s).

• Communicate claim issues regularly and work collaboratively with the team.

• Assist in the establishment of weekly, monthly, annual goals and communicate associated progress as needed.

• Maintain patient billing records and produce billing reports as directed.

• Possess at least 3 years of experience in the field of Pharmacy Billing

• Hold proficiency in medical billing and pharmacy claim handling

• Have a solid understanding of medical claims procedures

• Familiarity with health insurance policies and insurance claims processing

• Experience in handling claim denials efficiently

• Knowledge of EOB (Explanation of Benefits) is required

• Demonstrated skills in collecting payments in a healthcare setting

• Ability to interpret and adhere to all relevant healthcare regulations and standards

• Effective communication and interpersonal skills

• Demonstrated ability to work in a team environment

• Strong attention to detail and accuracy in work

• Proficient in using computer software and applications related to the role.



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