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