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Home Infusion Reimbursement Specialist
5 days agoWhat's your preference?
Job Description
- Req#: 6795624
Employer Industry: Home Infusion and Specialty Pharmacy
Why consider this job opportunity:
- Salary up to $28.00 per hour
- Excellent benefits package including 401(k) matching, health, dental, and vision insurance
- Opportunity for career advancement and growth within a fast-paced environment
- Supportive and collaborative work culture
- Remote work flexibility with the potential for location exceptions
What to Expect (Job Responsibilities):
- Prepare and submit clean claims to assigned insurance companies in a timely manner
- Bill all charges daily and ensure accurate submission and collection of claims
- Verify that services and products are correctly authorized and maintain required documentation
- Follow up on unpaid claims and prepare appeals or corrected claims as needed
- Maintain strong relationships with payers to ensure accurate claims and reimbursement
What is Required (Qualifications):
- Minimum of two (2) years of medical billing experience
- Prior experience in home infusion billing
- Strong knowledge of government insurance plans, managed care plans, and patient billing
- Proficiency in CPR+ or CareTend systems is highly desirable
- Ability to work full-time from 9:00 AM to 5:00 PM Pacific Standard Time (PST)
How to Stand Out (Preferred Qualifications):
- Experience working with Pharmacy Benefit Managers (PBMs) is a significant advantage
- Familiarity with infusion billing for medical and commercial Medicaid payers
- Experience with CareTend Infusion Pharmacy software for billing
- Understanding of how to convert vials into units per payer fee schedules
- Professional demeanor for interaction with clients and insurance companies
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