Team Lead, Payment Specialist

CarepathRx · Remote

Company

CarepathRx

Location

Remote

Type

Full Time

Job Description

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.

Job Details:

Responsibilities

  • Manage assigned book of business posting payments, transfers, corrections adjustments, and refunds as needed.

  • Evaluate and recommend payors for EFT and ERAs

  • Identify issues and submit corrective action recommendations

  • Identify and correct Cash posting issues

  • Review unapplied accounts, request EOB’s and post payments to AR

  • Review Parsed incoming 835 Files and distribute reports to the team

  • Review and confirm daily Cash spreadsheets are accurate and distributed

  • Assist all front-line workers with questions or issues

  • Act as the primary trainer for all new employees and any existing employees who are learning a new function

  • Assist supervisor and manager with making sure all current priorities and initiatives are being followed

  • Manage Cash projects to ensure timely completion

  • Assist in completion of month-end processes

Skills & Abilities

  • Strong customer service and interpersonal skills

  • Effective written and verbal communication

  • Excellent organization, problem solving skills and attention to detail

  • Meet the quality assurance and benchmark standards set by the management team

  • Knowledge of patient accounting systems, third party billing and collections guidelines

  • Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence

Requirements

  • High School diploma or GED

  • Cash experience, posting payments, and reading EOB’s is required

  • Collections or medically billing experience with an understanding of ICD9, CPT4, HCPCS and medical terminology is preferred

  • Familiarity with third party payer guidelines, reimbursement practices and available financial resources is preferred

  • Proficiency in the Microsoft Suite

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 are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Apply Now

Date Posted

08/24/2024

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