Revenue Cycle Management Specialist

Option Care Health Inc.; Trenton (NJ); On-site; USD 60,000 - 80,000; Full time

Job summary

Join a leading home infusion provider committed to elevating care standards for patients with acute and chronic conditions. This role offers a unique opportunity to contribute to a thriving workforce focused on inclusivity and respect while ensuring accurate billing and reimbursement processes. As part of a dedicated team, you will play a vital role in maintaining financial accuracy and compliance, ensuring timely payments and fostering a culture of extraordinary care. If you are detail-oriented and passionate about making a difference in healthcare, this position is perfect for you.

Benefits

401k

Dental Insurance

Disability Insurance

Health Insurance

Life Insurance

Paid Time Off

Vision Insurance

Qualifications

• 0 – 6 months experience in infusion reimbursement or intake/admissions.

Responsibilities

• Submit timely, accurate invoices to payers for products and services.
• Evaluate payments received for correctness and apply them to patient accounts.
• Follow up on invoices to ensure prompt payment.

Skills

Microsoft Excel

Microsoft Word

Education

High School Diploma or equivalent

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 employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as unique as the patients and communities we serve. Join a company that is taking action to develop a culture that is inclusive, respectful, engaging, and rewarding for all team members. 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 for the timely, accurate submission of invoices to responsible payers for all services and products provided. Evaluates received payments and applies them to patient accounts. Follows up with responsible parties to ensure the receipt of timely, accurate payments. Assists with billing and collection training and completes "second level" appeals to payers.

A Day in the Life at Option Care Health

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 employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as unique as the patients and communities we serve. Join a company that is taking action to develop a culture that is inclusive, respectful, engaging, and rewarding for all team members. 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 for the timely, accurate submission of invoices to responsible payers, of any type, for all services and products provided. Evaluates payments received and applies them to the patient account. Follows up with responsible parties to ensure the receipt of timely, accurate payments. Assists with billing and collection training and completes "second level" appeals to payers.

Job Responsibilities:

• Submits timely, accurate invoices to payers for products and services provided. Understands the terms and fee schedules for all contracts involved. Correctly determines quantities and prices for billed drugs. Verifies that services and products are correctly authorized and documented. Ensures invoices are submitted for services and products that are properly ordered and confirmed as provided.
• Evaluates payments received for correctness and applies them accurately to patient accounts. Verifies payment accuracy according to fee schedules. Applies payments correctly and mails secondary bills and patient invoices within 48 hours of payment receipt. Notifies the Reimbursement Manager of overpayments or duplicate payments. Transfers payments to other offices within 48 hours of receipt.
• Follows up on invoices to ensure prompt payment. Verifies receipt and processing of claims. Sends collection letters when insurance fails to pay timely. Follows up on denials within 48 hours.
• Ensures compliance with contract policies and HIPAA guidelines to maintain confidentiality.

Supervisory Responsibilities: None

No

Basic Education and/or Experience Requirements:

• High School Diploma or equivalent.
• 0 – 6 months experience in infusion reimbursement or intake/admissions.

Basic Qualifications & Interests:

• Basic skills in Microsoft Excel (e.g., formatting, formulas, basic functions).
• Basic skills in Microsoft Word (e.g., formatting, editing, review features).

This job description is a guide for company and department objectives and covers primary functions and responsibilities. It is not an exhaustive list of duties.

Due to pay transparency laws, the full salary range is $19.19-$31.99, determined by education, experience, and market considerations.

Benefits:

• 401k
• Dental Insurance
• Disability Insurance
• Health Insurance
• Life Insurance
• Paid Time Off
• Vision Insurance

Option Care Health is an equal employment opportunity employer, committed to diversity and inclusion.