Audit Specialist II - CarepathRx (Fully Remote)

CarepathRx; United States; Remote; USD 75,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) plan

Life insurance

Tuition reimbursement

Job summary

CarepathRx provides healthcare pharmacy services with a focus on home infusion and revenue cycle operations. The role involves auditing payer submissions to ensure accuracy and compliance, focusing on home infusion revenue cycle processes, and supporting SOP development.

Ideal candidates will have at least 3 years in home infusion revenue cycle operations, strong regulatory knowledge, and proficiency with Microsoft Office. Remote work flexibility is part of the offering.

Qualifications

• At least 3 years of experience in home infusion revenue cycle operations.
• Strong knowledge of federal and state billing regulations and payer requirements.
• Proficiency in Microsoft Office Suite and basic medical terminology.

Responsibilities

• Review claim submissions, identify discrepancies, and investigate root causes.
• Perform quarterly quality audits and support employee training.
• Contribute to Standard Operating Procedures and special projects.

Skills

Payer audits

Home infusion revenue cycle

Regulatory knowledge

Microsoft Office

Tools

Microsoft Office Suite

Job description

• Conduct payer audits to ensure accuracy and compliance in healthcare billing.
• Focus on home infusion services and revenue cycle operations.

Key Accountabilities:

• Review claim submissions, identify discrepancies, and investigate root causes.
• Perform quarterly quality audits and support employee training.
• Contribute to Standard Operating Procedures and special projects.

Requirements:

• At least 3 years of experience in home infusion revenue cycle operations.
• Strong knowledge of federal and state billing regulations and payer requirements.
• Proficiency in Microsoft Office Suite and basic medical terminology.
• Medical, dental, and vision insurance from day one.
• 401(k) savings plan, company-paid life insurance, and tuition reimbursement.
• At least 18 days of PTO annually plus paid holidays and remote work flexibility.

CarepathRx

CarepathRx provides healthcare pharmacy services with a focus on home infusion and revenue cycle operations. The company emphasizes operational excellence, accuracy, and a remote work culture supporting employee success.