Search the 25 jobs at CarepathRx

The Authorization Specialist is responsible for obtaining and managing initial and renewal prior authorizations for therapies from insurance companies. This includes collaborating with clinicians, managing documentation, and ensuring timely follow-up on authorization requests while maintaining high-quality standards.

The Medical Billing Specialist is responsible for billing and collection of insurance claims, ensuring accuracy and timeliness in processing claims. They must analyze billing issues and recommend corrective actions, handle patient and insurance changes, and maintain productivity standards. Effective communication with various stakeholders and attention to detail are essential.

The Insurance Verification Coordinator III manages daily insurance verification functions, ensuring coverage for patients, updating demographics, securing reimbursements, and communicating with Account Managers for authorizations. Responsibilities also include generating quotes, tracking documents, and assisting in employee training while maintaining productivity and quality standards.

The Accounts Receivable Specialist is responsible for managing billing claims and ensuring timely and accurate submission. Duties include verifying claim data, submitting documentation, following up on denials, and handling communication with patients and insurance companies. The role requires managing accounts receivable and participating in collection activities.

The PBM Billing Specialist is responsible for billing and collecting insurance claims, ensuring accuracy and timeliness. The role requires understanding third-party billing, processing Home Infusion claims, and identifying billing trends. Effective communication with patients and payors is essential, along with problem-solving skills and familiarity with medical billing practices.

The Senior Manager, Payor Contracts oversees payor contract analysis and implementation to ensure financial success and operational efficiency. This role involves reviewing contracts, evaluating reimbursement rates, providing education on contract requirements, and driving improvements in compliance and turnaround times. The position requires collaboration across various teams and managing payor relationships to optimize financial outcomes in the pharmacy sector.

The Insurance Verification Coordinator manages insurance verification processes, updates patient information, verifies insurance coverage, and secures necessary reimbursement documents. Responsibilities include communicating with patients about their benefits, obtaining prior authorizations, and organizing financial assistance forms while maintaining a high level of customer satisfaction.

The Medical Billing Specialist will manage the billing and collection processes for insurance claims, ensuring timeliness and accuracy. Responsibilities include addressing billing issues, processing claims, analyzing denied claims, and meeting quality standards. Strong communication with patients and payors is key.

The Insurance Verification Coordinator will manage insurance verification processes, ensure timely updates of patient information, support case management, assist in financial documentation, and work collaboratively to enhance client satisfaction and reimbursement accuracy.

The Resupply Specialist is responsible for managing high volume phone calls, processing supply orders, verifying insurance benefits, and coordinating with various departments. Duties also include assisting at the front desk and scheduling, while maintaining communication and documentation processes.

The Senior HRIS Analyst will design, develop, and maintain advanced custom reports and analytics in Workday while ensuring data accuracy. Responsibilities include creating ad-hoc reports, training teams on report usage, and acting as a subject matter expert for Workday reporting capabilities.

The Lead Insurance Verification Coordinator leads the insurance verification process, assists staff with inquiries, enhances team efficiencies, manages documentation, and collaborates with management on performance and workflow. This role requires strong communication, organization, and problem-solving skills within a healthcare setting.

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 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 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 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 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 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 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.