Billing Manager
- Lexington, MA
- $70,000 - $80,000
- Managed by Jobot Pro: Kelly Zupan
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
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
Job Details
Managed by Jobot Pro
Location
Lexington, MA
Job Type
Permanent
Compensation
$70,000 - $80,000