CSI Revenue Cycle Collector (H)

CSI Companies

1d•Remote

About The Position

CSI Pharmacy is a nationwide specialty pharmacy dedicated to providing services for patients with chronic and rare illnesses that require complex care. We are invested in improving the health and lives of the people we serve by offering expert clinicians, passionate advocates, committed healthcare partners, and strategic reimbursement experts. Our goal is to optimize patient outcomes while treating patients as if they were members of our family. Every employee, from those who work with our patients in the field to those who support them in administrative and office roles, is valued, respected, and encouraged to grow.

Requirements

Ability to work effectively with colleagues as team members and to communicate effectively.
Ability to multi-task and frequently change direction.
Time management skills.
Strong knowledge of infusion medical billing codes, insurance contracts, and regulations.
Familiarity with pharmacy/infusion insurance claims and appeal process.
Strong attention to detail and problem-solving skills.
Experience with home infusion and/or specialty pharmacy.
High School Diploma/GED
1-3 years experience in infusion medical billing and/or collections.

Nice To Haves

College degree preferred or equivalent experience.
Experience with CareTend preferred.

Responsibilities

Follow up on outstanding medical claims with insurance companies, patients, and healthcare providers.
Work with insurance companies to resolve disputes and facilitate payment.
Communicate with insurance companies to resolve billing and payment issues.
Maintain detailed electronic records and notes of all patient and payer communication.
Resolve denied claims and appeals.
Initiate requests for adjustments to revenue with supporting documentation where appropriate.
Accurately interpret an explanation of benefits.
Process refund requests from payers accurately and timely.
Ensure that all claims are processed following industry regulations and standards.
Adhere to all HIPAA guidelines/regulations.
Performs other related duties as assigned or requested.