Pharmacy Billing and Coding Specialist

Company Description Mediloop is building the core data infrastructure for the future of healthcare in Uganda through a comprehensive, AI-powered platform. The company provides a centralized, secure, and interoperable national health record system designed to improve patient outcomes and streamline clinical workflows. By integrating data from existing healthcare applications, wearables, and EHR systems into a unified repository, Mediloop enables more connected and personalized care. Its AI-powered data processing supports a vibrant ecosystem of digital health innovation, with the vision of making Uganda a leader in digital health.
Role Description The Pharmacy Billing and Coding Specialist is a full-time, on-site role based in Kampala. This role is responsible for accurately reviewing prescriptions, translating pharmacy services into appropriate billing and coding entries, and ensuring claims are compliant with regulatory and payer requirements. The specialist will work closely with pharmacists and pharmacy technicians to verify patient information, medication details, and insurance coverage before submission. Daily tasks include managing billing records, resolving claim denials, reconciling accounts, and maintaining clear communication with customers and insurers. The role also involves supporting continuous process improvement in pharmacy billing workflows and contributing to data quality within Mediloop’s health data platform.
Qualifications

• Strong knowledge of pharmacy operations and medication workflows, including familiarity with Pharmacy practice and prescription processing.
• Experience collaborating with Pharmacy Technicians or similar roles in a retail, hospital, or clinical pharmacy setting.
• Demonstrated customer service skills, with the ability to communicate clearly, handle inquiries, and resolve billing-related concerns in a professional manner.
• Understanding of basic compounding concepts and how compounded medications are documented and billed.
• Proficiency in medical billing and coding principles, preferably with experience in pharmacy claims and insurance reimbursement.
• Strong attention to detail, numerical accuracy, and ability to work with electronic health record and billing systems.
• Ability to work on-site in Kampala, collaborate within cross-functional teams, and manage time effectively in a fast-paced environment.
• Diploma or degree in Pharmacy, Pharmaceutical Sciences, Health Information Management, or a related field; relevant certifications in billing and coding are an advantage.

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