Innovative Hematology, Inc. · 10 hours ago
Pharmacy Billing Specialist (Claims Resolution/Denials)
Indianapolis, IN
Full-time
Onsite
Mid Level
3+ years expInnovative Hematology, Inc. is dedicated to providing comprehensive services and care for patients with rare blood disorders. The Pharmacy Billing Specialist will be responsible for the timely collection of claims for pharmacy services, assisting in claim submissions, and ensuring compliance with billing practices.
BiotechnologyHealth CareHospitalNon ProfitWellness
Responsibilities
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
Qualification
Required
High school diploma or GED
Minimum 3 years of experience in hospital or medical setting
Benefits
Competitive salary and benefit package
Company
Innovative Hematology, Inc.
Innovative Hematology, Inc. treats blood disorders—from common to rare—every day.
201-500 employees
H1B Sponsorship
Innovative Hematology, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (3)
2021 (1)
2020 (2)
Funding
Current Stage
Growth StageLeadership Team
Eric Gray
Director of Finance/CFO
Brooke Hernandez
Partners Program Manager
Company data provided by crunchbase