Reimbursement Payor Analyst

optioncare; Atlanta (GA); On-site; USD 49,000 - 81,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision Insurance

PTO

401K Match

HSA Match

Flexible Spending Accounts

Tuition Reimbursement

MyFlexPay

Family Support

Mental Health Services

Life Insurance

Recognition Programs

Job summary

Option Care Health, Inc. is seeking a payer reimbursement specialist to support payers with training, audits, and system needs. You will represent the division in payer issues to internal and external customers and help manage enrollment and referral processes.

The role requires a High School Diploma and at least 2 years in healthcare intake or reimbursement, with strong Excel/Word/PowerPoint skills. Experience with payer guidelines preferred; the position offers comprehensive benefits and

Qualifications

• High School Diploma and at least 2 years in healthcare intake/admissions and/or reimbursement.
• Proficient in Microsoft Excel; comfortable with Word and PowerPoint.
• Experience with payer reimbursement guidelines preferred.

Responsibilities

• Create and conduct payer training for field and corporate staff.
• Create audit programs and act as contact for payer audits and issues.
• Facilitate payer billing software/hardware implementation and training.
• Review payer referrals per established approval processes.
• Assist with enrollment of offices into payer plans.
• Help branches determine payer qualification and maintain related data.

Education

High School Diploma

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Job description

Extraordinary Careers. Endless Possibilities.

With the nation's largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

Responsible overall support of payers to include training, audit, system & software needs. Represent the division in payer reimbursement issues to internal and external customers. Job Description:

Job Responsibilities:

• Responsible for creating and conducting payer training for the field and the corporate employees.
• Creates and conducts audit programs for field and corporate staff and serves as company contact for Payer audits and issues.
• Responsible for facilitating payer billing software / hardware program implementation and training for field and corporate staff.
• Reviews payer referrals per established approval processes.
• Assists with the enrollment of offices into the various payer plans.
• Assists individual branch locations with determining payer qualification.
• Responsible for maintaining database to quantify and trend payer related referral, audit, denial and payment data; develops and maintain required database as directed by the Reimbursement Manager.

Supervisory Responsibilities:

i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.

No

Basic Education and/or Experience Requirements:

High School Diploma and at least 2 year of healthcare intake/admissions and/or reimbursement experience.

Basic Qualifications & Interests:

• Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
• Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).
• Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show).

Preferred Qualifications & Interests:

• Previous Infusion Reimbursement experience.
• At least 1 year of experience applying knowledge of payer reimbursement guidelines.

This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $48,500.29-$80,818.80

Benefits:

• Medical, Dental, & Vision Insurance
• Paid Time off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Flexible Spending Accounts
• Tuition Reimbursement
• myFlexPay
• Family Support
• Mental Health Services
• Company Paid Life Insurance
• Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.