Remote Audit Specialist II — Home Infusion Revenue Cycle

CarepathRx, LLC; 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

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.