Revenue Cycle Specialist - Collections

Job Description

Job Description

The position is Hybrid

InfuCare Rx  is a leading home infusion provider accredited by URAC and ACHC offering a specialized approach to caring for patients in need of IV therapy and specialty pharmacy services in the homecare setting. We have created an ethical, team oriented, and quality work environment for our employees that cultivates achievement and success.

Enhance your career with InfuCare Rx, a national Specialty Infusion Company providing patient-centric home therapy for patients with complex conditions. Optimal care and enhanced quality of life are staples of the InfuCare model for those on our service. InfuCare Rx is building a strong presence as a preferred provider for specialty infusion therapy with care partners throughout the healthcare community. Our entire staff is dedicated to innovative, progressive care to keep patients healthy at home and achieve the best overall outcomes possible. As a leader in the Specialty and Home Infusion space, InfuCare Rx has experienced tremendous growth year over year in the markets we serve. 

Job Summary:

As a Revenue Cycle Specialist, you'll take charge of multiple facets of the pharmacy/infusion reimbursement process as you interact with insurance companies and patients to ensure accurate payment.  You will have the experience of investigating irregularities and resolving problems when unforeseen roadblocks arise. This is a great opportunity for an experienced professional with a track record of filing claims, billing, appeals, reviews, customer service, problem resolution and overall revenue cycle management. 

Benefits:

• Medical/Dental/Vision
• STD/LTD
• Group Term Life
• Voluntary Life and AD&D
• 401K with Company Match
• Paid Sick Leave
• Paid Time Off
• 6 Paid Holidays

Responsibilities and Duties:

• Research of claim denials and payment discrepancies.
• Follow-up on claims greater than 45 days old.
• Claim re-submissions, re-considerations, and appeals
• other duties as assigned" under job duties/responsibilities

Required Education, Experience and Skill Requirements:

• A minimum of 5 years of collection/billing experience.
• The candidate must have excellent problem-solving and communication skills, be organized, dependable, and detail oriented.
• Must also be flexible and have the willingness to learn and adapt to the changes and needs of the department.
• Knowledge of CPR+ Infusion pharmacy preferred.
• Knowledge of infusion billing/collections guidelines for commercial and government payers.

Physical Demands:

Required to stand, walk, sit, talk, and hear; required to use hands to operate vehicles and office equipment; must be able to occasionally lift and/or move up to 25 lbs; specific vision requirements for this job include: close, distance and peripheral vision, and the ability to adjust focus, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care. 

InfuCare Rx is an equal opportunity employer. All employment decisions are made without regard to race, color, religion, national origin, military status, marital status, citizenship/immigration status, sex (including pregnancy and relation conditions, sexual orientation, or gender identity), age (40 and older), disability, genetic information (including employer requests for, or purchase use, or disclosure of genetic tests, genetic services, or family medical history), retaliation for filing a charge, reasonably opposing discrimination, or participating in a discrimination lawsuit, investigation, or proceeding. Background checks and drug screens are part of our hiring process. Affirmative Action/Equal Opportunity Employer, Minority/Female/Disabled/Veteran.

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