Job Description

locations PA - Remote CarepathRx Specialty Pharmacy & Infusion Solutions Locations

time type Full time

posted on Posted 2 Days Ago

job requisition id R-105035

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Responsibilities

Understand Third Party Billing.

Ensure the timeliness and accuracy of billing.

Meet quality assurance, benchmark standards, and maintain productivity levels as defined by management.

Identifies patient and insurance changes.

Processes Home Infusion/Nursing claims.

Processes rejections for NCPDP claims to determine if the claim needs to be refiled or submitted for an appeal with the payer.

Able to identify billing trends.

Performs other duties as assigned. Knowledge, Skills & Abilities

Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence.

Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner.

Helpful, knowledgeable, and polite while maintaining a positive attitude. • Interpret a variety of instructions in a variety of communication mediums. Knowledge of Home Infusion.

Knowledge of insurance policies and requirements.

Knowledge of medical billing practices and of billing reimbursement.

Maintain confidentiality and practice discretion and caution when handling sensitive information. • Multi-task along with attention to detail.

Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division.

Medicare knowledge of billing requirements specific to DMEMAC.

Other duties as assigned

Requirements

Collections or medical billing experience with basic understanding of ICD910, CPT4, HCPCS, and medical terminology is preferred.

Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary.

High school diploma or GED equivalent.

One to three years of related prior work experience in a team-oriented environment.

Experience in medical field and administrative record management.

Basic knowledge of Microsoft Office. • Knowledge of HCN 360 and/or CPR+ preferable

Self-motivation, organized, time-management and deductive problem-solving skills. • Work independently and as part of a team.

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants encouraged to apply. Drug-free work environment. Must be eligible to work in this country.

CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results. Through the industry’s most comprehensive, end-to-end hospital pharmacy care delivery model, CarepathRx is turning hospital pharmacy into an active care management strategy and revenue generator while providing support across the patient’s complete healthcare journey. The company takes an enterprise approach, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services that optimize pharmacy performance across the enterprise for fully integrated pharmacy operations, expanded healthcare services, improved ambulatory access, minimized clinical variation and new health system revenue streams. Today, CarepathRx serves more than 15 health systems and 600 hospitals, with more than 2,400 employees nationwide. For more information about CarepathRx, visit our website .

Join Our Team!

We are always searching for the best talent to join our growing organization. Check out our available opportunities by using the search functionality and filtering options at the top!

CarepathRx offers full-time employees a comprehensive benefits package that includes:

• Paid Company Holidays
• Paid Time Off and Volunteer Time Off
• Medical, Dental and Vision Benefits for you and your family
• 401(k) with Company Match
• Company-paid Life Insurance and Disability Benefits
• Supplemental Insurance packages

Introduce Yourself

Don't see an open opportunity that matches your skill set just yet? Please click Get Started below or click Introduce Yourself in the top right corner of the page to share your information with us. We will reach out when something becomes available!

Additionally, create an account with CarepathRx Careers to set up Job Alerts if something becomes available that peaks your interest! To create an account with CarepathRx Careers, c lick on Sign In in the top right corner. Once you have created an account and are logged in, click on Job Alerts in top right corner and Create Job Alert!

We hope you find a fulfilling career with CarepathRx!

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