Overview
This role involves the timely and accurate submission of invoices to payers for all services and products provided. The position requires evaluating payments received, applying them correctly to patient accounts, and following up with responsible parties to ensure timely and accurate payments. Additional responsibilities include assisting with billing and collection training and handling second-level appeals to payers.
Applicants must currently reside in the Pacific Time Zone to be considered.
Responsibilities
- Submit timely and accurate invoices to payers for products and services provided, ensuring compliance with contract terms and fee schedules.
- Determine correct quantities and prices for billed drugs.
- Verify that services and products are properly authorized and documented.
- Evaluate payments received for correctness and apply them accurately to patient accounts.
- Ensure secondary bills and patient invoices are mailed within 48 hours of payment receipt.
- Notify management of overpayments or duplicate payments.
- Transfer payments belonging to other offices within 48 hours.
- Follow up on submitted invoices to ensure prompt payment, including verifying claim receipt and processing status.
- Send letters to patients or responsible parties when insurance carriers fail to pay within a reasonable timeframe.
- Generate and mail statements and collection letters.
- Follow up on all denials within 48 hours of receipt.
- Ensure compliance with contract policies and HIPAA guidelines to maintain patient and business confidentiality.
Requirements
- High School Diploma or equivalent.
- 0 to 6 months of previous experience in infusion reimbursement or intake/admissions.
- Basic proficiency in Microsoft Excel (e.g., opening workbooks, formatting cells, inserting rows/columns, using copy/paste, spell check).
- Basic proficiency in Microsoft Word (e.g., opening documents, cutting/pasting text, formatting, inserting bullets and pictures, using find and replace, spell check).
Compensation & Benefits
- Salary is determined based on education, experience, knowledge, skills, abilities, internal equity, and market data.
- Medical, dental, and vision insurance.
- Paid time off and bonding time off.
- 401(k) retirement savings plan with company match.
- Health Savings Account (HSA) company match.
- Flexible spending accounts.
- Tuition reimbursement.
- Flexible pay options.
- Family support programs.
- Mental health services.
- Company-paid life insurance.
- Award and recognition programs.
Location
- Applicants must reside in the Pacific Time Zone.
This job description outlines the primary functions and responsibilities of the position and is not an exhaustive list of duties. Equal employment opportunity is provided without regard to race, color, religion, national origin, citizenship status, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.