Billing Executive

Job Description

We are seeking a detail-oriented and organized Pharma Billing Executive OR INVENTORY MANGEMENT OR PHARMA WHOLESALE to manage billing processes in a pharmaceutical setting. The ideal candidate will handle the preparation of invoices, submission of claims, reconciliation of payments, and ensure compliance with industry regulations. This role plays a key part in maintaining accurate financial records and ensuring timely revenue collection. Key Responsibilities:Generate and process invoices for pharmaceutical products/services. Submit medical/pharmacy claims to insurance companies or third-party payers. Review prescriptions, bills, and insurance claims to ensure accuracy and completeness. Handle billing for both retail and wholesale pharmacy operations (if applicable). Verify insurance details, eligibility, and benefits before billing. Maintain up-to-date records of billing transactions in ERP or billing software. Reconcile payments, resolve discrepancies, and follow up on pending claims. Communicate with insurance providers, clients, and internal departments to clarify billing issues. Ensure compliance with healthcare regulations, such as HIPAA and GST (as applicable). Prepare regular reports on billing status, outstanding payments, and revenue collections. Required Skills & Qualifications:Bachelor’s degree in Commerce, Pharmacy, or a related field (B.Com/B.Pharm preferred). Proven experience in pharmaceutical or healthcare billing (1–3 years preferred). Knowledge of pharmacy operations, medical terminology, and insurance processes. Proficiency in billing/accounting software (e.g., Tally, Marg, SAP, Medisoft). Strong analytical and numerical skills. Attention to detail and excellent organizational abilities. Effective communication and interpersonal skills. Familiarity with regulatory standards (e.g., HIPAA, NABL, GST). Preferred Qualifications:Certification in Medical Billing and Coding is a plus. Experience in both retail and hospital pharmacy billing. Familiarity with TPA processes and reimbursement cycles. Work Environment:Office-based setting within a pharmacy, hospital, or pharmaceutical company. May require coordination with logistics, sales, and accounting departments. Standard business hours; some extended hours may be needed during audits or monthly closings.