Billing Specialist II managing partner onboarding and training for Skyswitch products. Handle billing support tasks and contribute to professional customer service efforts from our Bacolod City office.
II
Hybrid Pharmacy Billing Supervisor
Posted 1 hour ago
About the role
- Pharmacy Billing Supervisor at IHI overseeing billing operations and leading staff to ensure compliance. Responsible for improving revenue processes and collaborating across departments for patient care.
Responsibilities
- **What You Will Do**
- The Pharmacy Billing Supervisor oversees daily operations of the pharmacy billing team, including billing, payer relations as it relates to billing, claim resolution, and account receivable collections. This position supports accurate and compliant billing processes that improve revenue, accelerate cash flow, and reduce denials. The Supervisor monitors staff performance, identifies workflow barriers, and collaborates with internal departments—Pharmacy, Clinical, and others—to ensure timely authorizations and payments. The role also promotes process improvement, staff development, and high-quality service delivery.
- **Leadership & Staff Development**
- Provide performance updates and coaching to team members; communicate development needs and progress to Manager.
- Conduct monthly 1:1 meetings and document outcomes.
- Delegate tasks, prioritize workload, and direct daily workflows.
- Serve as a resource for payer requirements, claim submission, A/R, and precertification processes.
- Conduct first-line coaching and disciplinary actions in collaboration with Manager.
- Train new staff and support schedule planning and onboarding activities.
- **Billing Operations**
- Oversee claim submission, corrections, rebilling, and denial resolution.
- Ensure claims include accurate provider information, modifiers, diagnosis sequencing, and required LCD/NCD criteria.
- Review accounts, identify payer issues, and make recommendations for reassignment or correction.
- Perform or support precertification and collection actions, resubmit corrected claims, and prepare or coordinate denial appeals.
- Assist with internal chart audits related to E/M coding.
- Maintain patient billing accuracy and documentation standards.
- **Revenue Cycle Optimization**
- Identify workflow or productivity barriers impacting the revenue cycle and collaborate with Manager to resolve them.
- Prepare gap analyses related to billing operations, staff capacity, training needs, and software performance.
- Recommend write‑offs and execute approved adjustments.
- Monitor delinquent accounts and communicate status updates to the Billing Manager.
- **Compliance & Reporting**
- Remain current on payer policy changes, third‑party benefit updates, and regulatory requirements.
- Ensure compliance with government and non‑government billing rules, policies, and procedures.
- Utilize routine billing reports as directed.
- Escalate payer issues promptly and participate in workflow improvement planning.
- Assist with developing provider education materials related to billing and documentation.
Requirements
- 7–10 years of physician or hospital medical billing experience required.
- High School Diploma or GED required.
- Supervisory or lead experience, preferred.
- CPC, CCS, or CPB certification, required.
Benefits
- 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 with access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.
- Innovative Hematology Inc. is an Equal Opportunity Employer.
Job title
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