AIS Healthcare
Location
Clinton, MS | United States
Job description
This is a 100% remote position
Advanced Infusion Care offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. This is a remote position, however may require coming to Dallas office.
Advanced Infusion Care is a leading provider of IG therapy with 6 pharmacies. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.
Advanced Infusion Care is looking for an experienced and motivated Billing Specialist to join our dynamic team! The Infusion Billing Specialist is a full-time position responsible from billing functions from delivery ticket confirmation to generation of electronic or paper HCFA 1500 for submission to the insurance company for payment.
The perfect candidate should have outstanding communication skills, an in-depth knowledge of billing practices, work in compliance with Federal and State rules, regulations, and policy related to billing and collection activities.
EDUCATION AND EXPERIENCE:
· A high school diploma or general education degree (GED) equivalent is required.
· Minimum of 5 years of healthcare industry experience required.
· Knowledge of healthcare reimbursement and third party payer regulations and medical terminology required
Strong problem solving skills and the ability to make timely decisions.
Strong attention to detail
Medical coding knowledge/experience preferred
Home Infusion experience preferred.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Follows up on open delivery tickets from pharmacy
Follows up on claims on hold report
Timely response to collection team questions
Resubmission of corrected claims
Work Rejected claims queue in Waystar
· Responsible for understanding all procedures within regulatory mandates.
· Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
· Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
· Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
QUALIFICATION REQUIREMENTS:
· Understanding of all Revenue Cycle Management functions and integration of one another.
· Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.
· Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
· Strong work ethic with personal qualities of integrity and credibility.
· Ability to deal with highly sensitive and confidential material, strong knowledge of HIPAA privacy guidelines and requirements.
· Competence with ICD-9 and ICD-10.
· Knowledge of medical terminology.
· Self-directed, detail oriented, conscientious, organized, and able to follow through.
· Proficient in Microsoft Office, including Outlook, Word, and Excel.
Steps to Apply:
To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed.
Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.
AIS HealthCare™ is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.
We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking
Job tags
Salary
