MT-OTC(RCM)

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]