Search the 17 jobs at CarepathRx

The Reimbursement Manager will lead the Billers and Account Receivable Teams, overseeing the revenue cycle, guiding staff, analyzing claims data for process improvements, and ensuring compliance with regulations. Responsibilities also include developing policies, tracking team performance metrics, and collaborating with internal and external partners to enhance operational efficiency.

The Medical Billing Specialist is responsible for the billing and collection of insurance claims, ensuring accuracy and timeliness in processing. Responsibilities also include identifying issues in billing, handling patient and insurance changes, processing rejections, and maintaining quality assurance standards.

The role involves onboarding new specialty patients, maintaining patient information, processing copayments, handling communications between patients and healthcare professionals, and ensuring high-quality customer service. Responsibilities include managing patient assessments, documenting records, processing medication deliveries, and training staff under the supervision of licensed pharmacists.

The Supervisor of Billing oversees the performance and compliance of billing staff, ensuring adherence to productivity standards and conducting regular updates and meetings. They act as a resource for problem resolution, report on billing trends, and ensure timely and accurate billing processes are met while maintaining quality benchmarks.

The Resupply Specialist will manage high volume phone calls, process supply orders using Brightree and Snap, verify insurance benefits, log authorizations, coordinate referrals, maintain communication with departments, and support front desk and scheduling tasks as needed.

The Senior HRIS Analyst will develop, maintain, and execute reports and analytics within Workday, focusing on HR metrics, payroll, and other functions. The role requires providing guidance on Workday reporting and supporting end-users while ensuring data accuracy and insights into HR processes.

The Audit Specialist facilitates auditing of home infusion claims within the Revenue Cycle process, performing quality audits on new employees and ongoing billing activities, and assisting in training and development of procedures.

The Insurance Verification Coordinator is responsible for managing insurance coverage verification, updating patient information in the system, generating coverage quotes, tracking necessary documents, and obtaining prior authorizations. They also assist in training new employees and ensure high client satisfaction.

The Medical Billing Specialist is responsible for billing and collection of insurance claims, ensuring accuracy and timeliness in processing claims. They must analyze billing issues and recommend corrective actions, handle patient and insurance changes, and maintain productivity standards. Effective communication with various stakeholders and attention to detail are essential.

The Medical Billing Specialist will resolve escalation requests related to billing and insurance claims. Responsibilities include processing patient and insurance changes, identifying billing trends, and meeting quality standards. The candidate will communicate effectively with patients and payors while maintaining confidentiality and attention to detail.

The PBM Billing Specialist is responsible for billing and collecting insurance claims, ensuring accuracy and timeliness. The role requires understanding third-party billing, processing Home Infusion claims, and identifying billing trends. Effective communication with patients and payors is essential, along with problem-solving skills and familiarity with medical billing practices.

The Insurance Verification Coordinator manages insurance verification processes, updates patient information, verifies insurance coverage, and secures necessary reimbursement documents. Responsibilities include communicating with patients about their benefits, obtaining prior authorizations, and organizing financial assistance forms while maintaining a high level of customer satisfaction.

The Medical Billing Specialist will manage the billing and collection processes for insurance claims, ensuring timeliness and accuracy. Responsibilities include addressing billing issues, processing claims, analyzing denied claims, and meeting quality standards. Strong communication with patients and payors is key.

The Staff Accountant is responsible for various accounting functions including client billing, monthly closings, account reconciliations, and analyzing financial statements. The role involves cash management, reviewing accounts payable, providing reporting insights, and collaborating with finance and operations teams to enhance performance and identify opportunities.

The Authorization Specialist is responsible for obtaining prior authorizations for therapies from insurance companies and ensuring timely follow-ups. The role involves collaboration with clinicians, managing quality reviews of requests, and maintaining effective communication within departments. Attention to detail, client satisfaction, and organizational skills are essential.

The Resupply Specialist is responsible for receiving, processing, and managing DME and RE-SUPPLY orders. Ensures high service levels by handling incoming calls, verifying insurance benefits, coordinating deliveries, and performing necessary clerical tasks. Must operate in a fast-paced environment and assist with additional duties as directed by the supervisor.

The Onboarding Specialty Infusion team members manage the onboarding process for referrals, coordinate documentation, and serve as a liaison between internal teams and referral sources. They handle patient information documentation, manage incoming communications, and assist with home health care coordination. This role also includes mentoring new team members and ensuring compliance with system-wide competencies.