Payment Specialist – Remote Position Available In Orange, Florida

Payment Specialist

• Remote Payment Specialist
• Remote
  locations
  FL
• Maitland
  CarepathRx Specialty Pharmacy & Infusion Solutions Locations
  time type
  Full time
  posted on
  Posted 11 Days Ago
  job requisition id

R-106962

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

Requirements
Accurately and timely applies all payments and contractual adjustments according to departmental procedures.
Process refunds for patient overpayments monthly. Responsible for identifying payer trends & reporting to the management team.
Analyzing contracts, understanding per-diem rates Vs. drug rates. Responsible for making the appropriate adjustments to claims. Forward paper denials included on payment advice & remittance to A/R coordinator for daily follow-up. Perform other duties as assigned by the supervisor. Skills & Abilities
Strong customer service and interpersonal skills
Effective written and verbal communication
Excellent organization, problem solving skills and attention to detail
Meet the quality assurance and benchmark standards set by the management team
Knowledge of patient accounting systems, third party billing and collections guidelines
Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence.
Collections or medical billing experience with an understanding of HCPCS, ICD-10 and medical terminology is preferred.
Familiarity with third party payer guidelines, reimbursement practices and available financial resources is preferred.

CPR+, HCN

360 and/or Caretend knowledge preferred.
Qualifications High School diploma or GED
2+ years of prior customer service experience
Proficiency in the Microsoft Suite
Fully remote roles are available for candidates with 2+ years of experience in Home Infusion revenue cycle.​

CPR+, HCN

360 and or Caretend experience preferred CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. About Us
CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results. Through the industry’s most comprehensive, end-to-end hospital pharmacy care delivery model, CarepathRx is turning hospital pharmacy into an active care management strategy and revenue generator while providing support across the patient’s complete healthcare journey. The company takes an enterprise approach, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services that optimize pharmacy performance across the enterprise for fully integrated pharmacy operations, expanded healthcare services, improved ambulatory access, minimized clinical variation and new health system revenue streams. Today, CarepathRx serves more than 15 health systems and 600 hospitals, with more than 2,400 employees nationwide. For more information about CarepathRx, visit our website.