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Medical Billing Specialist for Pharmacies
1 day ago
Our Goal
At Sanabel Ventures, we aim to deliver high-quality pharmacy services that meet the needs of our clients. To achieve this goal, we need a skilled Pharmacy Billing Specialist to manage pharmacy billing and reimbursement processes effectively.
Responsibilities and Tasks:
- Ensure accurate and timely billing: Verify patient information, prepare claims, and submit them to insurance companies.
- Manage accounts receivable: Track payments, follow up on unpaid claims, and resolve any issues that may arise during the billing process.
- Maintain compliance: Stay up-to-date with regulatory and payer guidelines, including HIPAA and CMS requirements.
- Communicate effectively: Interact with insurance representatives, patients, and healthcare providers to ensure seamless billing and reimbursement processes.
Requirements and Qualifications:
- Experience and expertise: Minimum 2 years of experience in pharmacy billing or related healthcare billing, along with proficiency in pharmacy billing systems and software.
- Attention to detail: Strong commitment to accuracy in billing, payment posting, and record-keeping.
- Problem-solving skills: Ability to analyze and resolve billing issues, including handling denials and working on appeals.
- Communication skills: Excellent written and verbal communication skills, with the ability to effectively interact with various stakeholders.
- Preferred qualifications: Certification in Medical Billing or Pharmacy Billing (e.g., CPB - Certified Pharmacy Biller) is preferred but not required, along with experience with pharmacy management software and prior experience working in a retail or hospital pharmacy setting.
What We Offer:
- Competitive salary.
- Flexible work environment.
- Opportunities for career growth and advancement.
- Supportive team culture.
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