Position Summary for Revenue Cycle – Home Infusion/Specialty Pharmacy Representative: The Representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them. Positions Requirements:  Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites  Meets and maintains daily productivity standards established in departmental policies  Meets and maintains quality standards established in departmental policies  Uses the MPower workflow system, client host systems and other tools available to them to collect payments and resolve accounts  Adheres to the policies and procedures established for the client/team  Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies  Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results  Identify and report underpayments and denial trends  Initiate appeals when necessary  Basic knowledge of healthcare claims processing including: ICD-9/10, CPT, HCPC codes as well as 1500 forms  Ability to analyze, identify and resolve issues causing payer payment delays  Act cooperatively and courteously with patients, visitors, co-workers, management and clients  Maintain confidentiality at all times  Maintain a professional attitude  Other duties as assigned by the management team EXPERIENCE & KNOWLEDGE:  3+ years’ experience in Home Infusion and/or Specialty Pharmacy insurance collections, including submitting and following up on claims of medical billing work experience  Previous experience in Home Infusion and/or Specialty Pharmacy billing required  Knowledge of CPT and ICD-9/10–CM coding  Ability to work well individually and in a team environment  Proficiency with MS Office  Strong oral/written communication skills  Strong organizational skills  Strong Math skills Job Type: Full-time Required education:  High school or equivalent  Medical Billing Coding Certification – preferred but not required Required experience:  Medical billing: 2 years  Physician Billing – 1 year

Job Type: Full-time

Pay: $22.00 – $23.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Which experience do you have ? Home Infusion and/or Specialty Pharmacy insurance collections?

Experience:

• Medical billing: 3 years (Preferred)
• Physician Billing: 1 year (Preferred)
• Home Infusion: 3 years (Required)

Work Location: Remote