Pharmacy Reimbursement Specialist- Billing/Collections

Prochant • Full-time • Remote (United States) • 2w ago

To diligently perform infusion billing and collections services in alignment with client-specific contract terms, industry standards, and government compliance regulations. Through meticulous attention to detail and consistent adherence to established protocols, we ensure precise claim submission, efficient denial and payment resolution. Our commitment to accuracy and transparency supports the integrity of the revenue cycle while upholding the trust of clients and the continuity of essential patient care

Requirements

Basic understanding of infusions claims process
Ability to use Microsoft Office Suite
Ability to adopt and adapt to new technological changes and advances
Adherence to contractual, governmental, and industry standards of compliance
Timely and accurate electronic/paper claims submission
Timely and accurate electronic/paper secondary claims
Delivery ticket / claim editing
Electronic rejection resolution
Claim denial resolution
Timely accurate payer appeals
Follow up on unpaid AR balances
Clear and Concise documentation of all collection activity in client system
Accurate revenue adjustment submission
Efficient and effective use of client software applications
Able to build relationships with team members and collaborate effectively across departments
Decisive on resolution actions and efficiency driven
Strong communicator, both verbally and written
Being a strong cultural fit with our core values: Growth Mindset, Be Dependable, Act like a Champion Team

Benefits

Prochant offers some of the best benefits in the industry! We take great care of our employees. Prochant’s Fortune 500 level benefits package includes: