Posted:3 days ago| Platform: Foundit logo

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Work Mode

Remote

Job Type

Full Time

Job Description

Management Trainee- Patient Billing Specialist - Home Care Pharmacy

We are seeking a detail-oriented and experienced Patient Billing Specialist to join our team, supporting billing operations for our US-based Home Care Pharmacy services. The ideal candidate will have a strong understanding of healthcare billing practices, insurance verification, and patient account management, specifically within the home care pharmacy domain.

Responsibilities

  • Process and manage patient billing for home care pharmacy services in compliance with US healthcare regulations.

  • Verify insurance coverage and eligibility for pharmacy services.

  • Submit claims to insurance providers and follow up on unpaid or denied claims.

  • Resolve billing discrepancies and respond to patient inquiries regarding account balances.

  • Collaborate with pharmacy staff, insurance companies, and patients to ensure accurate and timely billing.

  • Maintain up-to-date knowledge of payer requirements, billing codes, and reimbursement policies.

  • Generate and review billing reports to ensure accuracy and completeness.

  • Assist in audits and compliance reviews as needed.

Qualifications we seek in you!

Minimum Qualifications / Skills

  • Must have B.Com or M.Com degree

Preferred Qualifications/ Skills

  • Experience in patient billing within a US-based Home Care Pharmacy or similar healthcare setting.

  • Familiarity with Medicare, Medicaid, and commercial insurance billing procedures.

  • Proficiency in billing software and electronic health record (EHR) systems.

  • Strong understanding of HIPAA regulations and patient confidentiality.

  • Excellent communication and problem-solving skills.

  • Ability to work independently and manage multiple tasks efficiently.

  • Experience with pharmacy billing platforms (e.g., QS/1, FrameworkLTC, or similar).

  • Knowledge of HCPCS, CPT, and ICD-10 coding.

  • Prior experience in a remote or hybrid work environment.

  • Work Environment

  • Operate within a structured framework but is you are expected to be proactive and analytically independent in your own area of responsibility

Employment Type: Full-Time

Shift: [US Shift/Night Shift EST/EDT hours]


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