Top Tech Jobs & Startups Jobs

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.

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.

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.