Job Description
Job Description
Join the Coram CVS/specialty infusion services team as a Reimbursement Specialist in a growing and challenging sector of healthcare, home infusion. Working for an industry leader and the largest home infusion organization you play an integral role in delivering cost effective solutions for our patients. Key responsibilities * Working off an aged trial balance to ensure a 30-day follow-up on all patient accounts. * Work with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustments and write-offs as appropriate. * Follow-up on daily correspondence (denials, low pays) to appropriately work patient accounts, interfacing with insurance companies via telephone to check claim status, written correspondence to payers and patients. * Interpret contracts with payers to ensure proper payment, sending initial or secondary bills to insurance companies. * Process refunds/reinstatements/ rejections of insurance claims, running reports on a weekly and monthly basis.
Required Qualifications
1+ years of experience in accounts receivable and/or billing and/or CVS externship experience within the Billing, Collections or Customer Service Departments at the Phoenix Shared Services Finance Center.
Preferred Qualifications
* Prior related healthcare Revenue Cycle experience, preferably within Collections and Billing
* Experience working with Microsoft Office, specifically
Excel, Outlook and Word
Education
Verifiable High School diploma or GED is required.
Business Overview
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
Join the Coram CVS/specialty infusion services team as a Reimbursement Specialist in a growing and challenging sector of healthcare, home infusion. Working for an industry leader and the largest home infusion organization you play an integral role in delivering cost effective solutions for our patients. Key responsibilities * Working off an aged trial balance to ensure a 30-day follow-up on all patient accounts. * Work with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustments and write-offs as appropriate. * Follow-up on daily correspondence (denials, low pays) to appropriately work patient accounts, interfacing with insurance companies via telephone to check claim status, written correspondence to payers and patients. * Interpret contracts with payers to ensure proper payment, sending initial or secondary bills to insurance companies. * Process refunds/reinstatements/ rejections of insurance claims, running reports on a weekly and monthly basis.
Required Qualifications
1+ years of experience in accounts receivable and/or billing and/or CVS externship experience within the Billing, Collections or Customer Service Departments at the Phoenix Shared Services Finance Center.
Preferred Qualifications
* Prior related healthcare Revenue Cycle experience, preferably within Collections and Billing
* Experience working with Microsoft Office, specifically
Excel, Outlook and Word
Education
Verifiable High School diploma or GED is required.
Business Overview
At Coram, a CVS Health business, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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