MT-OTC(RCM)

3 days ago

Noida, India Genpact Full time

Job Description Inviting applications for the role of 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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