Remote Reimbursement Specialist — Infusion Billing

PromptCare; Madisonville (LA); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Comprehensive Medical, Dental, and Vis

401(k) Plan with Company Match

Generous PTO: Vacation, Sick Time, etc

Life Insurance

Employee Assistance Program

Disability Insurance

HSA/FSA accessibility

Commuter Spending Programs

Employee Referral Bonuses

Exclusive discounts

Job summary

PromptCare is seeking a highly motivated Reimbursement Specialist to join our team in a remote capacity. The ideal candidate will manage all patient billing and collections with expertise in infusion reimbursement, insurance data collection, verification, and authorization.

Reporting to the Departmental Leador Manager, this 40-hour-per-week full-time non-exempt role requires knowledge of Medicare/Medicaid, DME/home infusion billing, and strong communication skills to coordinate with Intake and

Qualifications

• High School Diploma or equivalent.
• 2-3 years of experience in electronic claims submission and medical collections preferred.
• Working knowledge of insurance plans including Medicare and Medicaid required.
• Industry experience with billing/collections in DME, home infusion and/or enteral preferred.
• Accounts receivable and accounting experience preferred.
• Knowledge of CPR+ and/or Caretend software preferred.

Responsibilities

• Collections of third-party payor accounts for assigned payers.
• Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research.
• Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans.
• Identify adjustments, payment trends and denials and ensure problems are escalated as necessary.
• Maintain confidentiality in all aspects of patient care, employee activities and office environment.
• Communicate changes regularly or as often as needed.
• Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections.
• Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes.
• Field and troubleshoot calls from patients regarding benefit, claims and patient balances.
• Pro-actively seek resolutions to any billing issues that may arise.
• Perform CPR+/Caretend related transactions accurately and timely.
• Perform other duties as assigned.

Skills

Claims submission experience

Medical billing

Payor knowledge (Medicare/Medicaid)

Communication skills

Education

High School Diploma or equivalent

Tools

CPR+

Caretend

Job description

PromptCare is seeking a highly motivated Reimbursement Specialist to join our team in a remote capacity. The ideal candidate will manage all patient billing and collections with expertise in infusion reimbursement, insurance data collection, verification, and authorization.

Reporting to the Departmental Leador Manager, this 40-hour-per-week full-time non-exempt role requires knowledge of Medicare/Medicaid, DME/home infusion billing, and strong communication skills to coordinate with Intake and