Revenue Cycle Analyst | Medical & Specialty Pharmacy Position Available In Hillsborough, Florida

Revenue Cycle Analyst | Medical & Specialty Pharmacy Prosper Infusion Westchase, FL Job Details Full-time $15 – $30 an hour 1 day ago Benefits Health insurance Dental insurance Paid time off Vision insurance Life insurance Qualifications Revenue cycle management Accounts receivable Microsoft Excel Medical collection Insurance verification Medical coding Mid-level IV infusion Microsoft Office 3 years High school diploma or GED Analysis skills Bachelor’s degree Medical billing Organizational skills Home health Associate’s degree Medical terminology Communication skills Pharmacy software Full Job Description Prosper Infusion is a Tampa-based home infusion pharmacy who helps patients with rare disease receive specialty infusion treatment at home instead of the hospital. This position will be tasked with ensuring insurance and copays are collected timely and accurately. This is not a billing role, this is focused on collecting payment after claims are submitted. This is a perfect opportunity for someone who has strong analytical skills and is a hard worker. The role involves investigating medical and pharmacy claims, identifying and resolving root cause of rejections, with the goal of resolving discrepancies and maximizing reimbursement. The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills. This will be a on-site position in Westchase FL. Experience Required Have a thorough understanding of all payer contracts Have experience in home infusion and specialty pharmacy collections and AR Verify that services and products are correctly authorized and required documentation is on file. Work toward accomplishing collaboratively set goals related to billing metrics. Work all claim denials on a daily basis. Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment. Be proficient in payer appeals process for underpaid or denied claim invoices Review EOBs and act appropriately. Timely Receivables-Revenue Management and Reporting Interpret Contracts/Maintain Payer customer service relationships in order to produce accurate claims, validate reimbursement and keep A/R to company standards. Provide excellent customer service. Qualifications Minimum of a high school diploma or equivalent. College degree or equivalent work experience. 3-5+ years of revenue cycle experience Proven experience in medical billing and collections, preferably in home health or infusion services. Familiarity with billing and pharmacy software. Knowledge of insurance verification and reimbursement processes. Strong attention to detail and organizational skills. Excellent communication and interpersonal skills.

Job Type:

Full-time Pay:

$15.00 – $30.00 per hour

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

Monday to

Friday Education:

Bachelor’s (Preferred)

Experience:

Revenue cycle management: 3 years (Preferred) Ability to

Commute:

Westchase, FL 33626 (Required)

Work Location:

In person