Search the 15 jobs at CarepathRx

The Audit Coordinator is responsible for facilitating the auditing of home infusion claims within the Revenue Cycle process. Duties include conducting quality audits on new employees, performing claim denial audits, assisting in training, and developing Standard Operating Procedures while ensuring compliance with quality standards.

As a Medical Billing Specialist, you will manage escalation requests related to insurance claims, ensuring timely and accurate resolutions. Responsibilities include communication with payors and patients, processing changes and rejections, identifying billing trends, and maintaining quality standards.

The Lead Insurance Verification Coordinator oversees insurance verification processes, assists employees with daily issues, communicates updates, manages reference documentation, and works to improve team efficiencies. This role requires collaboration with management and conducting performance feedback for team members.

Oversee the Insurance Verification Team to ensure timely and accurate completion of patient referrals, insurance checks, and benefit communications. Create and maintain department processes, coordinate agreements, generate reports, and provide team education. Demonstrate expertise in insurance verification and payor guidelines. Manage team auditing, documentation, and workflow to improve efficiencies. Assist in recruitment and lead team meetings.

Seeking a dedicated Medical Billing Specialist for billing and collection of insurance claims. Responsibilities include understanding third party billing, identifying root causes of issues, ensuring timeliness and accuracy of billing, processing patient and insurance changes, and more. Requires high school diploma or equivalent with one to three years of related work experience in a team-oriented environment.

Provide ongoing support and assistance to the RN Intake Coordinators, including data entry, referral information management, and clerical support. Maintain confidentiality of patient information and ensure timely and accurate workflow processes.

Manage daily insurance verification operations, enter patient demographics, secure reimbursement paperwork, and generate coverage quotes. Coordinate with patients, review benefits, and assist in financial assistance tasks.

Provide support and assistance to RN Intake Coordinators by entering referral information, providing clerical support, and acting as a liaison between Intake and referral sources. Maintain patient confidentiality and ensure accurate transfer of patient insurance information. Must have HS diploma or GED, excellent communication and organizational skills, knowledge of medical terminology, and proficiency in Microsoft Office products.

Develop and execute health system partner infusion implementation project specification, milestones, and initiatives. Provide regular project updates and communication strategies. Monitor project milestones and deadlines. Manage payer portals for clients during and after implementation. Strong healthcare acumen and analytical skills required.

Manage daily functions of Insurance Verification area, including verifying insurance coverage, updating patient demographics, and securing reimbursement paperwork. Assist in case management, price negotiation, and training new employees. Prioritize client satisfaction, verify insurance benefits, and assist in price negotiation with case managers. Requires Associate's degree and 2-3 years of experience in home IV therapy or insurance verifications.

Seeking a dedicated Medical Billing Specialist for the Revenue Cycle Team responsible for billing and collections of insurance claims. Key responsibilities include understanding third party billing guidelines, identifying root causes of issues, ensuring timeliness and accuracy of billing, processing patient and insurance changes, and performing other duties as assigned. Required qualifications include high school diploma or equivalent, one to three years of related work experience, and knowledge in medical billing practices and reimbursement.

Responsible for obtaining initial and renewal authorizations for enteral, infusion, and/or specialty therapies from insurance companies. Collaborate with clinicians regarding supporting medical documentation in accordance with formulary guidelines and manage the quality review of requested prior authorizations.

The Sr. Manager of Networking and Contracting at CarepathRx is responsible for ensuring contract adherence and optimizing revenue cycle management. The role involves analyzing business processes, managing system upgrades, developing fee schedules, auditing system data, and collaborating with various departments to maintain operational efficiency.

Responsible for applying payments and contractual adjustments accurately and timely, processing refunds, analyzing contracts, and making adjustments to claims. Requires good computer skills, knowledge of medical terminology, and one year of experience in billing and cash posting.

The Insurance Verification Coordinator I at CarepathRx is responsible for verifying insurance coverage, updating patient demographics, securing reimbursement-related documentation, and coordinating with various departments for seamless reimbursement processes. The role also involves generating price/coverage quotes and providing support to patients with financial forms. Strong communication, organizational, and time-management skills are required, along with knowledge of medical terminology and payer processes.