Revenue Cycle Collector

CSI Companies•Plano, TX

3d•$25 - $27•Onsite

About The Position

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission.

Requirements

Ability to work effectively with colleagues as team members and to communicate effectively.
Possess the 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.