Pharmacy Billing Specialist

The key responsibilities for this role include performing regular audits of the medical billing process to ensure accuracy, completeness, and compliance with standards. You will be responsible for working on authorization and referrals, ensuring adherence to guidelines, and effectively documenting audit findings. Additionally, you will utilize data to produce and submit claims to insurance companies, verifying referrals for procedures to be performed. Reviewing patient bills for accuracy and completeness, obtaining any missing information as needed, and analyzing and updating status reports based on findings are also part of your responsibilities. Moreover, you will be required to communicate with clients professionally via phone and email, as well as conduct patient encounter and provider audits to maintain compliance and efficiency. This is a full-time position with a night shift schedule and the work location is in person. The expected start date for this role is 19/02/2025.,