
Healthcare Billing Specialist
3 days ago
Are you ready to transform the future of healthcare?
We're seeking a skilled and detail-driven professional to join our billing operations team as an Unbilled Claims Management Specialist. In this role, you'll be responsible for identifying, analyzing, and resolving unbilled claims within our US-based Home Care Pharmacy services.
- Monitor and manage unbilled claims to ensure timely submission and reimbursement.
- Investigate root causes of unbilled claims and implement corrective actions.
- Collaborate with pharmacy, intake, and billing teams to resolve documentation or authorization issues.
- Track and report on unbilled claim volumes, aging, and resolution status.
- Evaluate compliance with payer-specific billing guidelines and regulatory requirements.
- Maintain accurate records and documentation for audit and compliance purposes.
- Bachelor's degree in a relevant field such as business, healthcare administration, or a related field.
- Minimum 1-2 years of experience in unbilled claims management or billing in a US-based Home Care Pharmacy or healthcare setting.
- Strong knowledge of insurance billing processes, including Medicare, Medicaid, and commercial payers.
- Familiarity with pharmacy billing systems and EHR platforms.
- Excellent analytical, organizational, and communication skills.
This is an excellent opportunity to work in a fast-paced environment and contribute to the growth and success of our organization. You'll have the chance to develop your skills, collaborate with a talented team, and make a meaningful impact in the lives of our clients.
About Us:We're a dynamic company that values innovation, customer focus, and teamwork. Our mission is to deliver exceptional service and support to our clients, while fostering a positive and inclusive work environment.
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