I have extensive experience with various pharmacy billing systems, including EPIC, MediSoft, and RelayHealth. My proficiency includes accurately entering patient data, processing insurance claims, and troubleshooting billing errors. I am adept at navigating the complexities of Medicare and Medicaid billing requirements, ensuring compliance and efficient claim processing.

When discrepancies arise, I first verify the accuracy of the entered data against the patient's prescription and insurance information. I then communicate with insurance companies or patients to resolve any issues, ensuring that the billing is correct and the patient is not overcharged. My goal is to maintain transparency and accuracy in billing processes.

I prioritize organization and attention to detail, regularly updating my knowledge of insurance policies and billing codes. I also utilize checklists and double-check my work to minimize errors. Additionally, I maintain open communication with the pharmacy team and insurance providers to quickly resolve any billing issues that may arise.

I regularly attend webinars, participate in professional forums, and subscribe to industry newsletters to stay informed about the latest changes in healthcare billing regulations. I also engage with continuing education courses specific to pharmacy billing to ensure I am always compliant with the latest standards and practices.

In a previous role, I encountered a situation where a patient's insurance denied multiple claims due to incorrect coding. I meticulously reviewed the claims, corrected the coding errors, and resubmitted the claims. Through persistent follow-up with the insurance company, I successfully secured reimbursement for the patient and ensured future claims were processed correctly.