Payment Specialist

Posted 9 Days Ago
Hiring Remotely in Fort Lauderdale, FL
Remote
Junior
Healthtech • Pharmaceutical
The Role
The Payment Specialist is responsible for accurately processing payments and adjustments, managing refunds for overpayments, identifying payer trends, and ensuring claims are adjusted correctly. The role also includes following up on paper denials and supporting various tasks as assigned by supervisors.
Summary Generated by Built In

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:

Requirements

  • Accurately and timely applies all payments and contractual adjustments according to departmental procedures.

  • Process refunds for patient overpayments monthly. 

  • Responsible for identifying payer trends & reporting to the management team.

  • Analyzing contracts, understanding per-diem rates Vs. drug rates. 

  • Responsible for making the appropriate adjustments to claims. 

  • Forward paper denials included on payment advice & remittance to A/R coordinator for daily follow-up. 

  • Perform other duties as assigned by the supervisor. 

 

Qualifications

  • Good computer & communication skills. 

  • Knowledge of medical terminology. 

  • One-year experience in billing, cash posting, and collection procedures, preferably in healthcare.

  • Able to handle multiple tasks in a stressful environment.   

  • CPR+ and or Caretend experience

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

Caretend
Cpr+
The Company
HQ: Mercer Island, Washington
327 Employees
On-site Workplace

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.

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