We are in search of a Pharmacy Billing Specialist based in Indianapolis, Indiana. This role is in the Healthcare industry and offers a long term 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 oiffice training for a few weeks, then the job will switch to full remote. This contract position is slated to last through the end of the year. There is a possibility the positoin could go permanent, but that is not guaranteed.
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