Full Cycle Revenue Management - Remote

A Day in the Life at Option Care Health Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re‑imagining the infusion care experience for patients, customers and team members. Job Description Summary Applicants must be willing to work 8 AM - 5 PM MST/PST. Pay: $22.50/hr - $23.50/hr Must have: Full cycle, entering charges, generating claims, submitting, resubmitting, and following up with the insurance company. Job Responsibilities Submit timely, accurate invoices to payer for products and services provided. Understand the terms and fee schedule for all contracts. Correctly determine quantities and prices for drugs billed. Verify that services and products are correctly authorized and required documentation is on file. Ensure invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluate payments received for correctness and apply payments accurately to the system. Verify that payments received are correct according to the fee schedule. Apply the payment correctly to the patient account. Ensure that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notify the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfer payments belonging to other offices within 48 hours of receipt. Follow up on invoices submitted to ensure prompt and timely payment. Call to verify that claims submitted were received and are in processing. Send letters to the patient or responsible party when their insurance carrier fails to make payment within a reasonable time frame. Generate and mail statements and collections letters. Follow up on all denials within 48 hours of receipt. Ensure compliance with policies and guidelines outlined in the contract terms and fee schedule. Follow HIPAA guidelines when accessing and sharing patient information to maintain patient and business confidentiality. Basic Education and/or Experience Requirements High School Diploma or equivalent. 0 – 6 months previous Infusion Reimbursement or Intake/Admissions experience. Basic Qualifications & Interests Basic level skill in Microsoft Excel (e.g., opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). Basic level skill in Microsoft Word (e.g., opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions). Benefits Medical, Dental, & Vision Insurance Paid Time off Bonding Time Off 401K Retirement Savings Plan with Company Match HSA Company Match Flexible Spending Accounts Tuition Reimbursement myFlexPay Family Support Mental Health Services Company Paid Life Insurance Award/Recognition Programs Equal Employment Opportunity Statement Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. E-Verify® is a registered trademark of the U.S. Department of Homeland Security. #J-18808-Ljbffr