Pharmacy Billing Specialist

What You Will Do

As a Pharmacy Billing Specialist, you will be responsible for pursuing the appropriate and timely collection of all claims for payment for pharmacy services.

The Opportunity

• Assist in the preparation and submission of pharmacy claims to third party insurance carriers, if and when necessary.
• Secure appropriate medical documentation as required by third party insurance carriers.
• Follow up with third party insurance carriers and patients on unpaid claims or balances.
• Research payer regulations and claim guidelines regarding claim payment and denial management criteria to ensure compliant billing practices by utilizing website and associated tools established by payers as applicable.
• Assist in verification of insurance coverage for pharmacy services prior to services being rendered, if applicable.
• Re-verify benefit coverage criteria as needed for claims follow up.
• Ensure accurate and thorough documentation of steps taken to resolve claim issues are recorded in billing software(s).
• Communicate claim issues to Billing Manager on a regular basis.
• Work with Billing Manager to establish weekly, monthly, annual goals and communicate associated progress as needed. 

• High school diploma or GED
• Minimum 3 years of experience in hospital or medical setting
• Valid Indiana Driver’s license and automobile insurance.
• All IHI employees are expected to enable multi-factor authentication via their personal smart phone/smart device in order to access IHI systems as a requirement of the role.  

This position is open to residents of the State of Indiana, and requires routine presence at our Center in Indianapolis, IN. Frequency of on-site presence is dependent upon role and department needs.

Why join our team?

IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.

IHI is the only federally designated comprehensive hemophilia program in Indiana and serves the entire state through services available in Indianapolis and at outreach clinics.

IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.

IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHI research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 50 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.

Innovative Hematology, Inc. is an Equal Opportunity Employer.