Prosper Infusion · 3 months ago
Full-Time Tampa Accounts Receivables (AR) - Healthcare
Tampa, FL
Full-time
Onsite
Entry, Mid Level
2+ years expProsper Infusion is a healthcare company seeking a Pharmacy AR Specialist who will manage accounts receivable processes related to buy-and-bill medications. The role involves verifying insurance coverage, submitting claims, resolving discrepancies, and collaborating with pharmacy teams and insurance companies to enhance the revenue cycle.
Hospital & Health Care
Responsibilities
Track claims to ensure timely processing and reimbursement
Identify and address claim rejections and denials promptly
Reconcile payments and outstanding balances for buy-and-bill medications
Maintain detailed records of payer communications and payment status
Follow up on unpaid or underpaid claims
Ensure claims comply with payer policies, coding standards, and regulations
Maintain organized and accurate documentation for audit purposes
Identify opportunities to optimize the buy-and-bill billing process
Implement solutions to enhance efficiency and reduce denials
Qualification
Required
High School Diploma or equivalent
2 years medical billing, pharmacy billing, or revenue cycle management, particularly in buy-and-bill processes
Advanced knowledge of medical terminology, ICD 10, CPT, HCPCS coding and HIPAA requirements
Ability to communicate effectively, both orally and in writing
Demonstrated proficiency in the use of computer and commonly used software, including electronic medical records (EMR)
Extensive knowledge and experience with commercial, government and state billing and reimbursement procedures
Proficiency in insurance verification, prior authorization, and AR follow-up
Attention to detail, organizational skills, customer service orientation, and analytical thinking
Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements
Promptly identify issues and reports them to their direct supervisor
Maintain regular and predictable attendance
Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior
Preferred
College degree preferred
Company
Prosper Infusion
Prosper Infusion is redefining the way patients receive infusions in the comforts of their own home.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase