Financial Assistance Specialist

Job not on LinkedIn

October 14

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

Apply Now

Receive Emails with Similar Jobs

CarepathRx

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Pharmaceuticals • SaaS

CarepathRx is a comprehensive pharmacy care provider, partnering with health systems, hospitals, physicians, and pharmacies. The company offers a variety of solutions, including home and ambulatory infusion services, specialty pharmacy, and telepharmacy technology. CarepathRx aims to expand the continuum of infusion services to various settings such as the home, physician offices, and outpatient clinics to enhance patient experiences and retain patient services within their network. They also focus on leveraging remote pharmacy resources to provide cost-effective services like medication reconciliation and patient counseling. Through their expertise, operational scale, and technology capabilities, CarepathRx supports unique pharmacy strategies for their partners.

501 - 1000 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

💰 Corporate Round on 2020-12

📋 Description

• Identify billing trends • Identify errors, correct claims and reprocess for reimbursement • Contact payer, or patient as appropriate • Document all collections activity in patient collections notes • Document work performed/action taken on AR Aging Report and/or Over/Under Report • Process all Payer appeal requests within the time frame required by the Payer • Ensure the timeliness and accuracy of billing • Identify root cause of issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials • Investigate claims, and reimbursement contracts • Meet quality assurance, benchmark standards and maintain productivity levels as defined by management. • Perform other duties as assigned • Process all approved adjustments • Process Home Infusion/Nursing claims • Process patient and insurance changes • Process rejections and denials to determine if the claim needs to be refiled or submitted for an appeal with the payer • Process rejections for NCPDP emails to determine if the claim needs to be refiled or submitted for an appeal with the payer • Review patient information in the appropriate system to determine why the claim is unpaid, if an adjustment is valid and whether additional approval is required

🎯 Requirements

• 1 to 3 years of related prior work experience in a team-oriented environment • Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred • High school graduate or equivalent • Valid driver's license in state of residence with a clean driving record (when applicable for the position) • Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence. • Basic knowledge of Microsoft Office • Familiarity with third-party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial • Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division.

🏖️ Benefits

• Medical, dental and vision benefits for you and your family • 401(k) with Company Match • Company-paid Life Insurance and Disability Benefits • Paid Company Holidays • Paid Time Off and Volunteer Time Off • Flexible spending