As a pharmacy helpdesk specialist, I work closely with pharmacists to resolve denied or rejected claims, providing necessary overrides for commercial, Medicare, and Medicaid insurance to ensure patients receive their medications without delay.
On inbound calls, I assist patients in understanding their billing inquiries while providing effective resolutions to insurers. For outbound calls, I review accounts with outstanding balances, communicate with patients about payments, and facilitate collections with clarity and professionalism.
Beyond call management, I specialize in offline tasks, including claims review to ensure accuracy before agents provide account details. I also handle patient refunds, process billing for commercial and self-pay accounts, and respond to emails and voicemails with precise solutions.