CarepathRx
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The Analyst, Supply Chain collaborates with stakeholders to manage the movement and inventory of supplies, develop and implement supply chain policies, analyze trends in inventory usage, and provide analytics to support cost reduction efforts in the pharmacy sector.
The Resupply Specialist will manage DME and re-supply orders by handling patient demographics, processing orders, verifying insurance benefits, and coordinating equipment delivery. This role requires communication with patients and various departments to ensure timely and accurate service.
The Staff Accountant will manage accounting activities including preparing client and intercompany billings, assisting with monthly closings, performing account reconciliations, and analyzing financial statements. Responsibilities also include cash management, expense report management, and reporting insights to management. The role demands strong analytical skills and the ability to meet deadlines while maintaining confidentiality.
The Insurance Verification Coordinator II manages the insurance verification process, including verifying coverage, updating patient information, and ensuring necessary documentation for reimbursement. The role involves client interaction for benefit reviews, prior authorizations, and financial assistance coordination while maintaining productivity and quality standards.
The Insurance Verification Coordinator manages daily insurance verification functions, including checking coverage, updating patient information, generating financial quotes, and coordinating insurance documents. Responsibilities also involve assessing copay assistance, ensuring compliance with quality standards, assisting new hires, and resolving reimbursement issues.
The Project Manager at CarepathRx leads IT system implementation projects, ensuring timely and budget-friendly delivery while meeting quality standards. Responsibilities include managing project scopes, coordinating resources, identifying risks, and collaborating with stakeholders. The role demands strong technical knowledge, leadership, and communication skills, and involves multitasking in a dynamic environment.
The Accounts Receivable Specialist is tasked with managing patient account claims, ensuring accuracy in billing, addressing denials, and facilitating communications with patients and insurance companies. Additional responsibilities include obtaining prior authorizations, handling payment postings, and maintaining adherence to policies.
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.
The Insurance Verification Coordinator manages daily functions related to verifying insurance coverage, updating patient demographics, and ensuring reimbursement paperwork is secured. Responsibilities include coordinating financial assistance documentation, training new employees, generating price quotes, and obtaining prior authorizations while prioritizing client satisfaction and collaborating with team members.
The Medical Billing Specialist is responsible for handling billing and collection of insurance claims, ensuring accuracy and timeliness, processing patient and insurance information, addressing billing trends, and communicating effectively with various stakeholders. The role requires experience in medical claims processing and knowledge of billing practices.
The Medical Billing Specialist is responsible for billing and collecting insurance claims, understanding third-party billing, ensuring accurate and timely billing, processing patient changes, and maintaining quality assurance. The role involves analyzing billing trends and effectively communicating with patients and payors.
The Authorization Specialist is responsible for obtaining initial and renewal authorizations for therapies, collaborating with clinicians on medical documentation, and managing quality reviews. This role ensures timely follow-ups, interfaces with other departments, and maintains high standards of client satisfaction while upholding confidentiality.
The Onboarding Specialist supports RN Intake Coordinators by entering referral information, providing clerical support, and maintaining communication with referral sources. Responsibilities include data entry, documenting patient information, and assisting with patient insurance transfers.
The Authorization Specialist is responsible for obtaining initial and renewal prior authorizations for medical therapies from insurance companies. They collaborate with clinicians to ensure documentation meets formulary guidelines, manage quality reviews, and assist in communication across departments to support authorization requests and enhance productivity.
The Payment Specialist is responsible for accurately processing payments and adjustments, managing refunds for overpayments, identifying payer trends, and ensuring claims are adjusted correctly. The role also includes following up on paper denials and supporting various tasks as assigned by supervisors.
The Insurance Verification Coordinator will manage daily insurance verification functions, update patient information, secure reimbursement paperwork, and assist with case management. The role involves working closely with patients to verify their insurance benefits, generate price quotes, and obtain necessary prior authorizations, while ensuring client satisfaction and supporting case managers in price negotiation and issue resolution.
The Authorization Specialist is responsible for obtaining initial and renewal prior authorizations for therapies from insurance companies and collaborate with clinicians for required medical documentation while managing quality reviews of requests.
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 PBM Billing Specialist is responsible for billing and collecting insurance claims, processing patient and insurance changes, and ensuring accurate and timely billing while identifying issues and trends in billing. Communication with patients and payors is essential, along with maintaining records and quality assurance standards.