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
Understand Third Party Billing
Triage incoming correspondence
Process claims by mail or fax
Ensure the timeliness and accuracy of billing
Meet quality assurance, benchmark standards and maintain productivity levels as defined by management.
Processes Home Infusion/Nursing claims
Able to identify billing trends
Communicate with partners on weekly basis
Performs other duties as assigned
Skills & Abilities
Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence.
Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner.
Helpful, knowledgeable, and polite while maintaining a positive attitude
Interpret a variety of instructions in a variety of communication mediums
Knowledge of Home Infusion
Knowledge of insurance policies and requirements
Knowledge of medical billing practices and of billing reimbursement
Maintain confidentiality and practice discretion and caution when handling sensitive information.
Multi-task along with attention to detail
Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division
Self-motivation, organized, time-management and deductive problem-solving skills
Work independently and as part of a team
Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred.
Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial
Basic knowledge of Microsoft Office
Knowledge of HCN 360 and/or CPR+ preferable
CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
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.
Top Skills
What We Do
CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results.
CarepathRx provides the industry’s most comprehensive hospital pharmacy care delivery model, providing support across the patient’s complete healthcare journey—across multiple care settings, from hospital to home, no matter the patient acuity level.
We take an enterprise approach to pharmacy care delivery, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services. This comprehensive, end-to-end approach enables health systems and hospitals to optimize pharmacy performance across the entire enterprise, including:
- Fully integrated pharmacy operations
- Expanded healthcare services
- Improved ambulatory access
- Minimized clinical variation
- Enhanced clinical patient outcomes
- New revenue streams
- Optimized health system revenue growth
For patients this means a more seamless experience and better overall health. And for clients, it means pharmacy is no longer a cost center—it’s a results generator. Today, CarepathRx works with more than 15 health systems and 600 hospitals nationwide.
