Full-time

Pharmacy Billing Specialist

IconHyderabad, India

    Job Description:

    • Must have 1-2 years of relevant experience
    • A pharmacy biller is responsible for handling and transferring patient information, submission of claims to insurance companies, and ensures that the payments for medical services are received in a timely manner.
    • To confirm patient benefits and insurance eligibility.
    • Submits daily claims to insurance companies.
    • Research and establish patient eligibility coverage with insurance providers.
    • Contact insurance providers for issue clarifications.
    • Obtains appropriate files from doctors such as prescriptions, Certificates of Medical Necessities, prior authorizations
    • To follow up on the late payments and initiate late payment notices to relevant team.
    • Uses analytical skills to investigate the issues with unpaid claims and/or denied payments.
    • Interact with insurance companies daily regarding overrides, rejections and insurance updates.
    • Reviews for insurance updates, as needed.
    • Works on medical review, appeals, and reconsideration as needed.
    • Ensures medical compliance by maintaining standards set forth by insurances and HIPAA.

    Eligibility:

    • Pharma Graduates (B. Pharm / M. Pharm/ PharmD) or candidates with medical/pharmacy billing experience can apply.
    • Willing to work in EST shifts.
    • Should possess excellent verbal and written communication skills.
    • Should be competent enough to use computer systems, software, and calculators.
    • Must be familiar with CPT and the latest coding guidelines.
    • Should be able to maintain patient confidentiality as per the HIPAA.
    Icon

    Apply for Job

    Send your Application now on your dream job