Job Description

MEDRX INFUSION MEDICAL BILLING SPECIALIST JOB DESCRIPTION

MINIMUM OF TWO YEARS INFUSION PHARMACY BILLING EXPERIENCE TO BECOME AN INTEGRAL PART OF OUR BILLING/COLLECTIONS TEAM.

THIS PERSON WILL BE A FULL-TIME, GOAL-ORIENTED, REVENUE-DRIVEN, HIGHLY ACCURATE AND MOTIVATED BILLER.

PRIMARY DUTIES INCLUDE, BUT ARE NOT LIMITED TO: CONSISTENTLY FOLLOW UP ON UNPAID CLAIMS UTILIZING MONTHLY

AGING REPORTS AND FILING APPEALS WHEN APPROPRIATE TO OBTAIN MAXIMUM REIMBURSEMENT. SECONDARY DUTIES

INCLUDE BUT ARE NOT LIMITED TO: DATA ENTRY OF ALL PATIENT DEMOGRAPHIC, AND INSURANCE

INFORMATION, POSTING PROCEDURES AND INSURANCE/PATIENT PAYMENTS, BALANCE TO DAILY DEPOSITS

REQUIRED SKILLS

• EXPERT KNOWLEDGE OF CLAIM FORMS CMS 1500

• KNOWLEDGE OF CPR PLUS, AND PROCESSING AND SPREADSHEET APPLICATIONS.

• EXPERIENCE IN CPT AND ICD-9 CODING; FAMILIARITY WITH MEDICAL TERMINOLOGY OF INFUSION PHARMACY PRACTICE.

• EXCELLENT CUSTOMER SERVICE SKILLS.

• STRONG WRITTEN AND VERBAL COMMUNICATION SKILLS.

• ABILITY TO MANAGE RELATIONSHIPS WITH VARIOUS INSURANCE PAYERS.

• EXPERIENCE IN FILING CLAIM APPEALS WITH INSURANCE COMPANIES TO ENSURE MAXIMUM ENTITLED REIMBURSEMENT.

• RESPONSIBLE USE OF CONFIDENTIAL INFORMATION.

• PERFORM TO COMPANY STANDARDS OF COMPLIANCE WITH POLICIES AND PROCEDURES.

• ABILITY TO MULTI-TASK AND WORK COURTEOUSLY AND RESPECTFULLY WITH FELLOW EMPLOYEES, CLIENTS AND PATIENTS.

DETAILED WORK ACTIVITIES

• ENSURE ALL CLAIMS ARE SUBMITTED WITH A GOAL OF ZERO ERRORS.

• VERIFIES COMPLETENESS AND ACCURACY OF ALL CLAIMS PRIOR TO SUBMISSION.

• ACCURATELY POST ALL INSURANCE PAYMENTS BY LINE ITEM.

• TIMELY FOLLOW UP ON INSURANCE CLAIM DENIALS, EXCEPTIONS OR EXCLUSIONS.

• MEET DEADLINES.

• READING AND INTERPRETING INSURANCE EXPLANATION OF BENEFITS.

• UTILIZE MONTHLY AGING ACCOUNTS RECEIVABLE REPORTS TO FOLLOW UP ON UNPAID CLAIMS AGED OVER 60 DAYS.

• MAKE NECESSARY ARRANGEMENTS FOR MEDICAL RECORDS REQUESTS, COMPLETION OF ADDITIONAL INFORMATION REQUESTS, ETC. AS REQUESTED BY INSURANCE COMPANIES.

• RESPOND TO INQUIRIES FROM INSURANCE COMPANIES, PATIENTS AND PROVIDERS.

• REGULARLY MEET WITH ACCOUNT MANAGER TO DISCUSS AND RESOLVE REIMBURSEMENT ISSUES OR BILLING OBSTACLES.

• REGULARLY ATTEND WEEKLY OR MONTHLY STAFF MEETINGS AND CONTINUING EDUCATIONAL SESSIONS AS REQUESTED.

• PERFORM ADDITIONAL DUTIES AS REQUESTED BY SUPERVISORY OR MANAGEMENT TEAM.

Company Description

We are the leading provider of home infusion, specialty and compounding pharmacy services. After recognizing a significant need for an innovative and personalized approach to full-service home care solutions, we soon became a highly respected and familiar name within the healthcare community. MedRx Infusion offers challenging and rewarding career opportunities to talented individuals who are passionate about providing quality healthcare. If you are interested in a career at MedRx Infusion, and can stand behind our Mission and Vision, please apply.