- Assist in the preparation and submission of pharmacy claims to third party insurance carriers, if and when necessary.
- 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 regarding claim payment and denial management criteria to ensure compliant billing practices by utilizing website and associated tools established by payers as applicable.
- Assist in verification of insurance coverage for pharmacy services prior to services being rendered, if applicable.
- Re-verify benefit coverage criteria as needed for claims follow up.
- Ensure accurate and through documentation of steps taken to resolve claim issues are recorded in billing software(s).
- Communicate claim issues to Team Lead and/or Billing Manager on a regular basis.
- Work with Team Lead and/or Billing Manager to establish weekly, monthly, annual goals and communicate associated progress as needed.
- 2+ years of medical billing experience required, pharmacy specific billing is a HUGE plus
- Software: Epic, Centricity
Medical Biller - Indianapolis, United States - LHH
Description
Job Title: Pharmacy Billing Specialist
Location: Onsite- Indianapolis, IN
Schedule: M-F 8a-5p
Duration/Type: Contract (through the end of 2024)
Job Overview:
LHH Recruitment Solutions has partnered with a healthcare organization seeking a Medical Billing Specialist In this role, you will play a crucial role in the financial health of the healthcare organization. This position is based in Indianapolis, IN and requires on-site presence. This is a long term temporary position through the end of 2024, with the potential for long-term employment based on performance.
Responsibilities:
Qualifications:
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our program provides employees with the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.