Payment Specialist

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:

The Payment Specialist will analyze, post, balance, and report payments for designated entities and payers to the appropriate billing system(s). The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as well as strong communication and problem-solving skills. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. Experience with cash experience, posting payments, and experience reading EOB’s is preferred.

Responsibilities

• Manage assigned book of business posting payments, completing transfers, correction adjustments and refunds as needed

• Post payments once batch balances

• Record daily cash posting to log

• Balance daily to cash sheet

Skills & Abilities

• Strong customer service and interpersonal skills

• Effective written and verbal communication

• Excellent organization, problem solving skills and attention to detail

• Meet the quality assurance and benchmark standards set by the management team

• Knowledge of patient accounting systems, third party billing and collections guidelines

• Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence

Requirements

• High School diploma or GED

• Cash experience, posting payments, and reading EOB’s is required

• Collections or medically billing experience with an understanding of ICD9, CPT4, HCPCS and medical terminology is preferred

• Familiarity with third party payer guidelines, reimbursement practices and available financial resources is preferred

• Proficiency in the Microsoft Suite

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.