JOB DETAILS

• Remote 
• Flexible Schedule
• Home Infusion Billing Experience REQUIRED
• Full Time Direct Hire Position
• Competitive Salary + Excellent Benefits

JOB SUMMARY

The Remote Home Infusion Billing Coordinator is responsible for financial results of the insurance companies and home infusion/pharmacy customers.  In addition, this role is, responsible for identifying and following policies, procedures and systems for quality assurance as directed by Medicare, Medicaid and Private insurance.  

 This role assists in creating and revising our standard operating procedures and educating our partners, vendors, and internal teams on those procedures.  He/She will be responsible for quality assurance of work performed by internal team members.

RESPONSIBILITIES

• Understand all general rules, guidelines, and methods to get paid from the insurance companies for which they are assigned
• Responsible for the financial results of the insurance companies and Brightree customers by ensuring accuracy:
• Reduce Credit Adjustments and write Off’s
• Ensure that the billing methodology for each payer is documented and set-up throughout the Brightree system to realize maximum reimbursement
• Propose changes and updates to the configuration of the customers Brightree system including but not limited to
  1. Price tables
  2. Insurance Settings
  3. Modules adoption
  4. Additional Services
• Identify areas of opportunities to better streamline internal or external processes
• Perform System Enhancements to the Brightree System
• Improve processes to increase efficiency
• Prepare and submit reports to team lead as needed including but not limited to:
  1. Quality Assurance Reporting
  2. Denial Analyst Reporting
  3. Service Level Agreement Reporting
• Ensure adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals
• Maintain patient confidentiality and function within the guidelines of HIPAA

REQUIREMENTS

• High school diploma required; Equivalent combination of education and experience will be considered. A 2-year degree or additional college coursework preferred
• Prior home infusion billing experience REQUIRED
• 2+ years of accounts receivable experience 
• Minimum of 2 years of experience working in & maintaining HIPAA standards
• Highly skilled in using computers & Microsoft products (Excel and Word) is required
• Highly motivated in billing, claims, denials and document management to work with our internal and external customers on the phone or via software applications
• Math aptitude
• Strong problem-solving skills focused on resolving complex home infusion claims
• An effective communicator with strong oral, written and persuasive skills and capability to deal with people at all levels in the organization and the public in a professional manner
• Exceptional organizational skills with a high level of attention to detail and the ability to multitask
• Self-starter, results driven, highly motivated, high energy
• Proven track record of working towards and exceeding metrics strongly preferred
• 5 years of experience in a healthcare reimbursement role preferred

Apply with Registry Ally now!

Call: (424) 488-2577

Email: [email protected]