Revenue Cycle Specialist - Billing - Home Infusion

InfuCare Rx
695 US-46, Suite #100
Fairfield, NJ 07004
United States

Manages Others
Experience Required
Degree Required
Accepts NHA Certifications
Security Clearance Required
From $50,000 To $52,000
Per Year    
Employment Type
Work Schedule
No Travel

Job Description

Enhance your infusion billing career with InfuCare Rx, a national Specialty Infusion Company. 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 to also investigate irregularities and resolve 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. With InfuCare Rx experiencing rapid growth, you'll join a fluid and evolving environment that will challenge your ability to adapt but will also reward you with ample opportunities while streamlining and improving processes.

Responsibilities and Duties:
- Prepare and submit clean claims to assigned insurance companies, either electronically or    by paper
- Follow up on all unpaid claims in a timely manner, and prepare appeal or corrected claims    to ensure payment
- Review EOBs and act appropriately
- Timely Receivables-Revenue Management and reporting
- Submit write off requests, identify bad debt as necessary
- Identify all roadblocks which potentially could delay claims payment and be ready to           discuss solutions with management
- Bill payor plus patient responsibility amounts accurately and in a timely manner
- Handle phone interaction with patients and insurance companies regarding billing and           statement questions
- Interpret Contracts/Maintain Payor customer service relationships in order to produce       accurate claims, validate reimbursement, and keep A/R to company standards
- Provide excellent customer service
- Other duties as assigned

Job Requirements
Skills/Abilities/Work Experience:

- Must have Home infusion experience
- Minimum of 5 years in infusion medical billing required
- Strong knowledge of government insurance plans, managed care plans, HMO/PPO’s, and patient billing
- Accurate and detail-oriented including ability to work under pressure
- Experience with Microsoft Office (Word/Excel)
- Communicates clearly and effectively in both oral and written communications
- Proven problem-solving and critical thinking skills
- Hands-on experience with a computerized billing system
- Experience with CPR+ Infusion Pharmacy software for billing highly preferred
- Ability to self motivate and effectively solve complex problems through internal/external interaction.
- Knowledgeable in Medicare and Medicaid guidelines for home infusion therapy
- Knowledge of infusion billing for commercial and Medicaid payers
- Working knowledge of infusion CPT, HCPCS and ICD-10 codes
- Electronic claim filing
- Medical Billing compliance proficiency

Candidates will be considered who have at least 2 years of infusion billing experience, have great customer service skills, the ability to learn/adapt, and who are excellent problem solvers. They will have the ability to lead, own the process, and be results oriented.
InfuCare Rx
Heather Rombone
695 US-46, Suite #100
Fairfield NJ 07004
United States