<p>We are seeking a motivated and detail-oriented Pharmacy Billing Specialist to join our team! The ideal candidate will have a strong background in medical billing, excellent organizational skills, and a commitment to providing superior support in pharmacy claim handling and insurance billing. Must be local to Indianapolis.</p><p><br></p><p><strong>Hours: </strong>Monday - Friday 8am - 5pm</p><p><br></p><p>Responsibilities for the position include the following:</p><ul><li>Provide assistance in preparing and submitting pharmacy claims to third-party insurance carriers as needed.</li><li>Secure and verify all necessary medical documentation required by third-party insurance carriers for claims processing.</li><li>Conduct follow-ups with third-party insurance carriers and patients to address unpaid claims or balances and resolve discrepancies.</li><li>Research and analyze payer regulations and claim guidelines, ensuring compliant billing practices by leveraging payer-specific tools and resources.</li><li>Verify insurance coverage for pharmacy services prior to rendering services, when applicable.</li><li>Re-validate benefit coverage criteria during claim follow-up processes.</li><li>Maintain accurate and thorough documentation of all steps taken to resolve claim-related issues within billing software systems.</li><li>Regularly report claim trends and issues to the Team Lead and/or Billing Manager.</li><li>Collaborate with the Team Lead and/or Billing Manager to establish and achieve short-term and long-term goals while providing progress updates.</li></ul>

<ul><li>Relevant experience in pharmacy or medical billing.</li><li>Strong understanding of insurance payer guidelines and regulations.</li><li>Proficiency in using billing software and associated tools.</li><li>Excellent communication and problem-solving skills.</li><li>Attention to detail and ability to multi-task efficiently.</li><li>High School Diploma or equivalent</li><li>3 years related experience </li><li>Software: Athena - EMR; ScriptMed</li></ul><p><br></p>

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