Option Care Health
Option Care Health
Option Care Health este un furnizor american de servicii medicale specializat în terapia prin perfuzie la domiciliu și în regim ambulatoriu pentru afecțiuni acute și cronice. Serviciile sale includ antibiotice administrate intravenos, suport nutrițional, imunoglobulină și alte tratamente specializate pentru afecțiuni neurologice, tulburări de coagulare, nevoi de sănătate ale femeilor, insuficiență cardiacă și afecțiuni asociate. Prin intermediul a peste 170 de centre de perfuzie, compania colaborează cu furnizori de servicii medicale, producători farmaceutici, asigurători și sisteme de sănătate pentru a coordona îngrijirea centrată pe pacient și pentru a sprijini rezultate de calitate.

Remote RCM Collections Specialist and Medical Biller

Manage payer billing and collections for infusion care, including invoice follow-up, payment posting, denials, and appeals. Support Option Care Health’s home infusion operations remotely from the Mountain or Pacific Time Zone.

Descriere

  • Submit accurate, timely invoices to payers for products and services.
  • Apply contract terms and fee schedules to submitted invoices.
  • Calculate quantities and prices for billed drugs.
  • Confirm services and products are authorized and required documentation is on file.
  • Review payments for accuracy and post them to patient accounts.
  • Mail secondary bills and patient invoices within 48 hours of receiving payment.
  • Alert the Reimbursement Manager to overpayments and duplicate payments.
  • Transfer payments for other offices within 48 hours.
  • Follow up on invoices to support prompt payment.
  • Confirm claims have been received and are being processed.
  • Contact patients or responsible parties when insurers have not paid within a reasonable timeframe.
  • Prepare and mail statements and collection letters.
  • Follow up on denials within 48 hours.
  • Support billing and collections training.
  • Prepare second-level appeals to payers.
  • Follow contract terms and fee schedules, and comply with HIPAA guidelines.

Cerințe

  • Applicants must currently live in the Mountain or Pacific Time Zone.
  • High school diploma or equivalent.
  • Zero to six months of experience in infusion reimbursement or intake/admissions.
  • Basic proficiency with Microsoft Excel.
  • Basic proficiency with Microsoft Word.
  • Knowledge of HIPAA guidelines and patient and business confidentiality.
  • Understanding of payer contracts and fee schedules.
  • Ability to determine quantities and prices for billed drugs.
  • Ability to verify authorizations and required documentation.

Beneficii

  • Medical, dental, and vision insurance.
  • Paid time off.
  • Bonding time off.
  • 401(k) retirement savings plan with company match.
  • HSA company match.
  • Flexible spending accounts.
  • Tuition reimbursement.
  • myFlexPay.
  • Family support.
  • Mental health services.
  • Company-paid life insurance.
  • Awards and recognition programs.

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