Search the 25 jobs at CarepathRx

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.

The Audit Coordinator at CarepathRx is responsible for facilitating the auditing of home infusion claims for quality within the Revenue Cycle process. Responsibilities include prioritizing tasks, conducting quality audits, performing claim denial audits, and assisting in training and development of SOPs. Candidates should have 4 years' experience in home infusion revenue cycle and strong knowledge of billing guidelines and software applications. Strong communication, customer service, and organizational skills are required.

Seeking a Financial Assistance Specialist for billing and collection of copay assistance programs and foundation claims. Responsibilities include identifying billing trends, correcting claims, communicating with payers, and ensuring accuracy of billing processes. Basic knowledge of Microsoft Office and medical billing experience is preferred.

Responsible for resolving escalation requests for the billing and collection of insurance claims, ensuring timeliness and accuracy, identifying root causes of issues, and recommending corrective actions.

Manage the daily functions of the Insurance Verification area including verification of insurance coverage, updating patient demographics, securing reimbursement paperwork, and generating price/coverage quotes. Responsible for coordinating financial assistance forms, payment agreements, and waivers. Must have excellent communication, organization, time management, and professional skills. Requires knowledge of medical terminology, payer websites, and medical vs pharmacy payers. HS diploma or GED required.

The Project Manager oversees IT systems and solution implementation projects in the healthcare and pharmacy business space. Responsibilities include defining project scope, managing resources, mitigating risks, and ensuring compliance with standards. The ideal candidate has strong technical knowledge, leadership skills, and experience in healthcare systems implementation.

Seeking a dedicated Medical Billing Specialist responsible for billing and collection of insurance claims in a hospital pharmacy setting. Responsibilities include understanding third party billing, identifying root causes of issues, ensuring timeliness and accuracy of billing, and processing patient and insurance changes. Qualifications include high school diploma or equivalent, one to three years of related work experience, and strong customer service background.

Lead Insurance Verification Coordinator at CarepathRx responsible for expert knowledge in insurance verification, payor guidelines, and contract pricing. Duties include assisting employees, improving team efficiencies, communicating updates, creating documentation, and conducting team meetings. Requirements include HS diploma, 2-4 years of healthcare experience, knowledge of medical terminology, and proficiency in Microsoft Office Products.

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.

Responsible for processing DME & RE-SUPPLY orders, verifying insurance benefits, coordinating delivery of equipment, and handling patient inquiries. Requires 1 year of DME experience and proficiency in computer and communication skills.

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.

Manage the daily functions of the Insurance Verification area including verification of insurance coverage, updating patient demographics, securing reimbursement-related paperwork, and generating price/coverage quotes. Responsibilities also include determining medical vs pharmacy benefits, reviewing benefits with patients, obtaining prior authorizations, and coordinating financial assistance forms. Must have excellent communication, organization, time management skills, and knowledge of medical terminology.

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.

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.

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.

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.

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.

Participate in monthly accounting activities, prepare financial statements, reconcile accounts, analyze financial statements, assist in monthly reporting, interact with management teams, maintain confidentiality, handle multiple priorities, and perform other accounting duties as assigned.