CSI Pharmacy
51 - 200 employees
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🧬 Biotechnology
Healthcare Insurance • Pharmaceuticals • Biotechnology
CSI Pharmacy is a nationwide specialty pharmacy that focuses on providing services and therapies for patients with chronic and rare illnesses requiring complex care. Founded by pharmacists, the company is dedicated to improving the health and lives of its patients by offering individualized infusion therapies, specialized pharmaceutical knowledge, and passionate patient advocacy. With a presence across the country, CSI Pharmacy offers services such as nursing, pharmacy services, insurance and reimbursement navigation, and patient advocacy, aiming to treat each patient with personalized attention. The company specializes in treating rare diseases with biologics and plasma-derived therapies and is committed to optimizing patient outcomes in the comfort of their homes.
CSI Revenue Cycle Collector
Job not on LinkedIn
🕒 May 26
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CSI Pharmacy
51 - 200 employees
⚕️ Healthcare Insurance
💊 Pharmaceuticals
🧬 Biotechnology
Healthcare Insurance • Pharmaceuticals • Biotechnology
CSI Pharmacy is a nationwide specialty pharmacy that focuses on providing services and therapies for patients with chronic and rare illnesses requiring complex care. Founded by pharmacists, the company is dedicated to improving the health and lives of its patients by offering individualized infusion therapies, specialized pharmaceutical knowledge, and passionate patient advocacy. With a presence across the country, CSI Pharmacy offers services such as nursing, pharmacy services, insurance and reimbursement navigation, and patient advocacy, aiming to treat each patient with personalized attention. The company specializes in treating rare diseases with biologics and plasma-derived therapies and is committed to optimizing patient outcomes in the comfort of their homes.
📋 Description
• FOLLOW UP ON OUTSTANDING MEDICAL CLAIMS WITH INSURANCE COMPANIES, PATIENTS, AND HEALTHCARE PROVIDERS. • WORK WITH INSURANCE COMPANIES TO RESOLVE DISPUTES AND FACILITATE PAYMENT. • COMMUNICATE WITH INSURANCE COMPANIES TO RESOLVE BILLING AND PAYMENT ISSUES. • MAINTAIN DETAILED ELECTRONIC RECORDS AND NOTES OF ALL PATIENT AND PAYER COMMUNICATION. • RESOLVE DENIED CLAIMS AND APPEALS. • INITIATE REQUESTS FOR ADJUSTMENTS TO REVENUE WITH SUPPORTING DOCUMENTATION WHERE APPROPRIATE. • ACCURATELY INTERPRET AN EXPLANATION OF BENEFITS. • PROCESS REFUND REQUESTS FROM PAYERS ACCURATELY AND TIMELY. • ENSURE THAT ALL CLAIMS ARE PROCESSED FOLLOWING INDUSTRY REGULATIONS AND STANDARDS. • ADHERE TO ALL HIPAA GUIDELINES/REGULATIONS.
🎯 Requirements
• 1-3 years experience in infusion medical billing and/or collections • Strong knowledge of infusion medical billing codes, insurance contracts, and regulations • Familiarity with pharmacy/infusion insurance claims and appeal process • Strong attention to detail and problem-solving skills • Experience with home infusion and/or specialty pharmacy • Experience with CareTend preferred • High School Diploma/GED, college degree preferred or equivalent experience
🏖️ Benefits
• Health insurance • Professional development opportunities
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