Reimbursement Specialist

Soleo Health • Chesterfield, MO

4d • Hybrid

About The Position

Soleo Health is seeking a Reimbursement Specialist to support our Chesterfield, MO Specialty Infusion Pharmacy . Join us in Simplifying Complex Care!? Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program The Position: The Reimbursement Specialist will effectively perform the billing and collection activities necessary to facilitate the payment for the services provided.

Requirements

• Required to work onsite Tues, Wed and Thurs of each week
• Knowledge of HCPC coding and medical terminology
• Excellent math and writing skills
• Experience providing customer service to internal and external customers
• Excel and Outlook experience required
• High School Diploma or GED required

Nice To Haves

• Knowledge of home infusion therapy billing practices, preferred
• CPR+ systems experience preferred

Responsibilities

• Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical).
• Creates and submits secondary medical claims in a timely manner
• Monitors billing requirements pursuant to contracts with third party payers or government programs.
• Reviews payments/explanation of benefits (EOBs) applied to invoice to ensure that correct payment has been received
• Addresses payer and electronic transmission rejections
• Researches claim denials and follows-up with payer for resolution
• Monitors payer correspondence and provides requested information, as appropriate
• Makes routine collection calls on outstanding claims
• Researches refund requests received by payers and prepares refund according to findings
• Documents notes in a clear and concise fashion in Company software system
• Identifies issues/trends and escalates to Manager when assistance is needed
• Provides exceptional Customer service to internal and external customers
• Ensures compliance with federal, state, and local governments, third party contracts, and company policies.

Benefits

• Competitive Wages
• 401(k) with a Match
• Referral Bonus
• Paid Time Off
• Great Company Culture
• Annual Merit Based Increases
• No Weekends or Holidays
• Paid Parental Leave Options
• Affordable Medical, Dental, & Vision Insurance Plans
• Company Paid Disability & Basic Life Insurance
• HSA & FSA (including dependent care) Options
• Education Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees