Job Description

About the Organization Infusion Solutions is a locally owned and operated home infusion pharmacy that provides high quality, cost efficient, personalized infusion care to patients in the comfort of their own home or in our conveniently located infusion centers. Our centers have private infusion suites, each with a comfortable chair, plasma television, and wireless internet access. We also offer infusions in group settings, with chairs and room dividers for privacy. Description Infusion Solutions is a fast growing locally-owned home infusion and specialty pharmacy based in Washington state. This is a remote home infusion reimbursement position. We provide an excellent benefit package, competitive wages, and a fast-paced, safe, work environment. Ideal candidate for this position will have 2+ years of home infusion billing experience (1 year is required), have great customer service skills, the ability to learn/adapt and who are excellent problem solvers. They will have the ability to lead, own the process and be results oriented. Candidate will: Prepare and submit clean claims to assigned insurance companies. Have a thorough understanding of all payer contracts. Experience with Copay Assistance a plus. Have experience in home infusion and specialty pharmacy billing Bill all charges on a daily basis and ensure timely, accurate submission and collection of claims. Ability to bill and collect on self-pay outstanding AR. Strong customer service experience with handling patient pay balance discussions. Verify that services and products are correctly authorized and required documentation is on file. Work toward accomplishing collaboratively set goals related to billing metrics. Work all claim denials on a daily basis. Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment. Be proficient in payer appeals process for underpaid or denied claim invoices Ability to verify Eligibility accurately via electronically and over the phone with the Payer at risk. Review EOBs and act appropriately. Timely Receivables-Revenue Management and Reporting Interpret Contracts/Maintain Payer customer service relationships in order to produce accurate claims, validate reimbursement and keep A/R to company standards. Provide excellent customer service. Requirements: Minimum of two (2) years of medical billing experience required. Prior experience in Home Infusion Billing. Experience with billing Major Medical claims. Proficiency in CPR+ or CareTend systems is highly desirable. Experience working with Pharmacy Benefit Managers (PBMs) is a significant advantage. Prepare and submit clean claims to assigned insurance companies. Have a thorough understanding of how to convert vials into units & vice versa per the payer's fee schedule. Understands how to submit and perform corrected claims via various clearinghouses. Comprehends payer contracts and fee schedules, i.e., per diems, AWP's, NDC#'s, etc. Skills: Exceptional customer service skills. Two (2) years of medical billing experience Home Infusion Billing Experience Strong knowledge of government insurance plans, managed care plans, HMO/PPOs and Patient Billing Accurate and detail oriented including ability to work under pressure. Experience with Microsoft Office Suite (Word/Excel) Hands on experience with a computerized billing system. Experience with CareTend Infusion Pharmacy software for billing highly preferred. Ability to self-motivate and effectively solve complex problems through internal/external interactions. Knowledgeable in Medicare and Medicaid guidelines for home infusion therapy Knowledge of infusion billing for medical and commercial Medicaid payers. Ability to deal with problems involving several variables in particular situations. Professional demeanor to interact with clients, insurance companies and referral sources. Application Question(s): Have you used the software CPR+ or CareTend at any of your previous employers? Education: High school or equivalent (Required) Experience: Medical Billing: 2 years (Required) Home Infusion Billing software: 2 years (Required) Pharmacy or home infusion: 2 years (Required) Major Medical: 2 years (Required) Pharmacy Benefit Managers: 1 year (Preferred) Job Type: Full-time Pay: $22.00 - $28.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Paid time off Vision insurance Schedule: 8 hour shift Monday to Friday Must be available to work full-time, from 9:00 AM to 5:00 PM Pacific Standard Time (PST). Expected hours: 40 per week Work Location: Remote Full-Time/Part-Time Full-Time EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. This position is currently accepting applications. Infusion Solutions Inc

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