Billing Specialist – Infusion Pharmacy in Englewood, Colorado

Requisition: 2024-154763

Billing Specialist – Infusion Pharmacy
Job Locations

US-CO-ENGLEWOOD

ID
2024-154763

Line of Business
Amerita

Position Type
Full-Time

Pay Min
USD $20.00/Hr.

Pay Max
USD $22.00/Hr.
Our Company

Amerita
Overview

Amerita, Inc. is a leading provider in Home Infusion therapy. We are looking
for a Billing Specialist to join our Revenue Cycle Management team as we grow
to be one of the top home infusion providers in the country. As a core member
of the Billing team, you will be responsible for a broad range of billing
processes related to managing the Ready to Bill unbilled revenue. The Billing
Specialist will report to the Billing Manager and work from home.

• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity
  Insurance
• 401(k) Retirement Plan with Employer Match
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays

Responsibilities

As a Billing Specialist, you will…
Ensure daily accomplishments work towards company goals for cash collections
and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly
and month-end close processes and other departmental goals as outlined.
Understand and adhere to state and federal regulations and company policies
regarding compliance, integrity, patient privacy and ethical billing
practices.
Manage the Ready to Bill queue on a daily basis; perform Quality Assurance
to ensure accurate and timely creation of new claims and generic invoices;
ensure submitted claims meet payer guidelines.
Process confirmed tickets in “unworked” status within 48 hours of
confirmation date; assign appropriate status to ensure proper handling by
branch and billing personnel; make necessary demographic changes to reduce
rejections of submitted electronic and paper claims.
Work “resolved” unbilled tickets within 24 hours to “ready” or next
status for resolution.
Conduct billing utilizing most efficient resources to secure timely payment of
open claims or invoices, giving priority to electronic solutions.
Participate in branch Ready to Bill conference calls.
Identify patterns of non-compliance by branch staff in completing patient
registration, supporting billing documentation and delivery tickets.
Review delivery tickets for accuracy and complete claims per payer-specific
guidelines.
Submit secondary billing in a timely mannerwith appropriate supporting
documentation per payer specific guidelines to ensure expected revenue is
allowed.
Research websites of assigned payers to bill for payer updates and shares
updates accordingly.
Communicate consistently and professionally with other Amerita employees.
Work within specified deadlines and stressful situations.
Work overtime when necessary to meet department goals and objectives.

Qualifications

High School Diploma/GED or equivalent required; some college a plus
A minimum of 3 to 4 years experience in medical billing with a working
knowledge of managed care, commercial insurance, Medicare and Medicaid
reimbursement; home infusion experience a plus
Must have experience auditing documentation to insure compliance with payer
requirements
Working knowledge of automated billing systems, experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting
practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills, typing 40 wpm and proficiency with 10-key
calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills

About our Line of Business

Amerita is a specialty infusion company focused on providing complex
pharmaceutical products and clinical services to patients outside of the
hospital. Committed to excellent service, our vision is to combine the…
For full info follow application link.

Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is