CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.
Job Details:Responsibilities - Understand Third Party Billing
- Triage incoming correspondence
- Process claims by mail or fax
- Ensure the timeliness and accuracy of billing
- Meet quality assurance, benchmark standards and maintain productivity levels as defined by management.
- Processes Home Infusion/Nursing claims
- Able to identify billing trends
- Communicate with partners on weekly basis
- Performs other duties as assigned
Skills & Abilities - Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence.
- Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner.
- Helpful, knowledgeable, and polite while maintaining a positive attitude
- Interpret a variety of instructions in a variety of communication mediums
- Knowledge of Home Infusion
- Knowledge of insurance policies and requirements
- Knowledge of medical billing practices and of billing reimbursement
- Maintain confidentiality and practice discretion and caution when handling sensitive information.
- Multi-task along with attention to detail
- Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division
- Self-motivation, organized, time-management and deductive problem-solving skills
- Work independently and as part of a team
- Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
- Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial
- Basic knowledge of Microsoft Office
- Knowledge of HCN 360 and/or CPR+ preferable
CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.