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PharMerica · 20 hours ago

Billing Specialist - Infusion Pharmacy / Remote

United States

Full-time

Remote

Mid Level

$20/hr - $22/hr

3+ years exp

Amerita, Inc. is a leading provider in home Infusion therapy, and they are seeking a Billing Specialist to join their Revenue Cycle Management team. The role involves managing billing processes related to unbilled revenue and ensuring compliance with state and federal regulations.

BiotechnologyHealth CareHospital

Responsibilities

Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes and other departmental goals as outlined

Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing practices

Manage the Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines

Process confirmed tickets in "unworked" status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims

Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution

Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions

Participate in branch Ready to Bill conference calls

Identify patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets

Review delivery tickets for accuracy and complete claims per payer-specific guidelines

Submit secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed

Research websites of assigned payers to bill for payer updates and shares updates accordingly

Communicate consistently and professionally with other Amerita employees

Work within specified deadlines and stressful situations

Work overtime when necessary to meet department goals and objectives

Qualification

Medical billing experienceManaged careAutomated billing systemsICD-9 codingCPT codingHCPCS codingMicrosoft Office skillsTyping 40 wpm10-key calculator proficiencyCommunication skills

Required

High School Diploma/GED or equivalent required; some college a plus

A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus

Must have experience auditing documentation to insure compliance with payer requirements

Working knowledge of automated billing systems, experience with CPR+ preferred

Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding

Solid Microsoft Office skills, typing 40 wpm and proficiency with 10-key calculator

Ability to independently obtain and interpret information

Strong verbal and written communication skills