Billing Manager

  • Lexington, MA
  • $70,000 - $80,000
  • Managed by Jobot Pro: Kelly Zupan
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A bit about us:

We are a home infusion company with a national network of pharmacist owned pharmacies with the ability to service 40+ states!

Why join us?

Competitive compensation
Benefits start on your 1st day of employment
401K w/ 4% Match – no waiting or vesting period
PTO / Floating Holidays / Paid Holidays
Company Paid Life Insurance, STD, LTD

Job Details

  • Knowledge and understanding of HCPC and CPT codes
  • Strong understanding of insurance terms, medical terminology, pricing methodologies for commercial and government billing requirements
  • Assures billing processes are compliant with payer requirement for Government, Commercial Health Plans and Medical Group payers
  • Assures accurate billing of coding and units required by payer and therapy type
  • Analyze and rectify claims issues with payers by timely follow u of claim status/payment. Ensures accuracy and completeness of payer requirements prior to timely submission of claims to Health Plans, either electronic or hard copy
  • Assures required authorizations and medical documentation forms are in correspondence with claim submission for quick turn-around time
  • Reviews and assures claims are processed and paid in full according to contractual agreements
  • Ensures revenue is booked according to appropriate contract allowable
  • Communicates with branches and other departments to assure resolution of reimbursement issues
  • Communicates and addresses reimbursement issues with management for resolution in a timely manner
  • Protects patient health information by following regulations for HIPAA compliance
  • Ensures daily productivity is met and monthly closing goals are met
Easy Apply Now
Easy Apply Now
Job Details
Managed by Jobot Pro
Lexington, MA
Job Type
$70,000 - $80,000