CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

Responsibilities 

Monitors the performance and compliance of reporting personnel and provides feedback via performance evaluations and disciplinary action when necessary. 

Provides updates to the team regarding changes in contracts/internal processes. 

Conducts staff meetings and updates personnel on company updates. 

Ensure achievement of productivity standards and adherence to regulations and standards of performance and accreditation. 

Acts as a resource to all personnel to resolve problems and answer questions regarding billing operations. 

Report to leadership of dashboard status, analytics, and billing trends  

Ensure the timeliness and accuracy of billing 

Meet quality assurance, benchmark standards, and maintain productivity levels as defined by management. 

Performs other duties as assigned 

 
Qualifications 

Background investigation (company-wide) 

Drug screen (when applicable for the position) 

Valid driver's license in state of residence with a clean driving record (when applicable for the position)  

High school graduate or equivalent. Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary. 

High school diploma or GED equivalent 

One to three years of related prior work experience in a team-oriented environment 

Experience in medical field and administrative record management 

Strong customer service background 

Skills & Abilities 

Must have experience processing pharmacy claims 

Ability to communicate with patients, payors, outside agencies, and public through telephone, electronic and written correspondence. 

Effectively communicate in English; both oral and written, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner. 

Helpful, knowledgeable, and polite while maintaining a positive attitude 

Interpret a variety of instructions in a variety of communication mediums 

Knowledge of Home Infusion  

Knowledge of insurance policies and requirements 

Knowledge of medical billing practices and of billing reimbursement 

Maintain confidentiality and practice discretion and caution when handling sensitive information. 

Multi-task along with attention to detail 

Must be able to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division 

Self-motivation, organized, time-management and deductive problem-solving skills 

Work independently and as part of a team 

Collections or medical billing experience with basic understanding of ICD9, CPT4, HCPCS, and medical terminology is preferred. 

Familiarity with third party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial

Basic knowledge of Microsoft Office 

Knowledge of HCN 360, CPR+ and CareTend preferable  

Medicare knowledge of billing requirements specific to DMEMAC 

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.