I have extensive experience with various pharmacy billing systems, including Epic, AthenaHealth, and Medisoft. I am proficient in navigating these platforms to process claims, manage patient billing, and resolve billing discrepancies. My background includes training new staff on billing procedures and software usage, ensuring accuracy and efficiency in billing operations.

When dealing with disputes or errors in insurance claims, I follow a systematic approach. I first identify the error, gather necessary documentation, and communicate with insurance providers to clarify issues. I am adept at negotiating and advocating for the correct reimbursement. Additionally, I document all interactions and outcomes to prevent future errors and improve claim processing.

To ensure accurate patient billing, I verify patient information and insurance details before processing any claims. I cross-check all charges against the prescribed medications and services. Regular audits of billing records help identify and rectify any discrepancies promptly. I also maintain clear communication with patients to explain their bills and address any concerns they may have.

During busy periods, I prioritize tasks based on urgency and impact. I start with time-sensitive tasks such as processing claims with quick turnaround times. I then move on to high-impact tasks like resolving billing disputes, which can prevent financial losses. Using a task management tool helps me track and manage my workload efficiently.

One challenging situation involved a complex insurance claim that was repeatedly denied due to coding errors. I meticulously reviewed the claim, corrected the coding, and resubmitted it. I also contacted the insurance provider to discuss the issue and provided additional documentation. After several follow-ups, the claim was approved, and the pharmacy received the correct reimbursement.