CarepathRx · 3 hours ago
Billing Specialist - Remote
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Responsibilities
Verify all data around patient/claim and find out why it has been denied
Responsible for timely re-submission and accuracy for billing claims
Responsible for accurate submission of necessary documentation to the insurance companies with claims
Follow-up on all denials within 72 hours of receipt
Participate in accurate collection activities and accounts receivable management. This includes mailing second and third notices to past due accounts and letters of patient responsibility
Obtaining prior authorizations and medical records both via portals and phone
Post payments to accounts and submit check requests for accounts overpaid
Manage accounts receivable to reflect collectable dollars
Responsible for knowing and complying with applicable policies and procedures
Answering/handling incoming calls regarding claims that were billed/denied to both patients and insurance companies.
Making outbound calls to patients regarding need of updated insurance, documentation needed for continuation of care and billing insurances, prior authorizations, picking up rental equipment, transitioning care, etc.
Other duties as assigned
Qualification
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Required
High School diploma or GED
At least one year experience in medical collections activities
Must be proficient in Microsoft products including outlook and Excel
Proficient computer skills
Knowledge of medical terminology
Skilled in billing, cash posting and collection activities
Highly organized with a strong attention to detail
Excellent communication skills
Ability to multitask in a fast-paced environment
Preferred
Health experience is preferred
Proficiency in the Microsoft Suite
Company
CarepathRx
CarepathRx is transforming pharmacy care delivery for health systems and hospitals.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
EvernorthUPMC
2023-06-01Corporate Round· undefined
2020-12-01Corporate Round· undefined
Recent News
2023-07-21
2023-06-06
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