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Job Description
Job Title Reimbursement Specialist
Job ID 772986
Begin Date 1/9/14
Duration
Location Fairmont,  WV
Other Location
Description
Reimbursement Specialist

CarePoint Partners, is now a part of BioScrip, one of the nation’s leading specialty infusion and home healthcare companies! BioScrip’s focus is clinical excellence and improving the quality of our patients’ lives. With over 3,800 employees able to service 48 states, BioScrip has externally-qualified Centers of Excellence built around specific clinical conditions and therapies. Ours is a fast-paced dynamic work environment with room for new ideas and opportunities for career advancement. We offer a wide array of welfare benefits as well as Tuition Reimbursement and 401(k) plan with an employer match.
Due to our exceptional growth and success, we are recruiting for a well-qualified Reimbursement Specialist to join our team in Fairmont, WV!
 
SUMMARY
 
This position performs administrative and reimbursement functions for the billing department.
 
 
ESSENTIAL FUNCTIONS
To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation.
 
  1. Processes claims accurately and timely.
  2. Performs collection calls and is persistent with aging accounts.
  3. Notifies supervisor of problem accounts.
  4. Processes denials and secondaries promptly.
  5. Submits appropriate documentation for adjustments to supervisor.
  6. Acts as backup for intake coordinator when needed.
  7. Updates and maintains contract pricing.
  8. Assists month-end closing as scheduled to assure timeliness.
  9. Attends required in-services each year.
 
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job, with or without reasonable accommodation.  
 
  • The employee is frequently required to stand, walk, sit, and handle/finger.
  • The employee is frequently required to reach outward, reach above shoulder, climb, crawl, squat, kneel and bend.
  • The employee must be able to frequently push/pull 15lbs or less and occasionally push/pull up to 100lbs.
  • The employee must be able to lift/carry up to 10lbs frequently and up to 50lbs occasionally.
  • Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.
 
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job, with or without reasonable accommodation.
 
  • Work is normally performed in a typical interior/office work environment.
  • The noise level in the work environment is usually quiet to moderate.
 
 
EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS
 
High school diploma or equivalent is required; Minimum of 2 years reimbursement and/or insurance experience preferred.  Infusion, home health or DME experience is preferred; Excellent interpersonal, verbal & written communication skills and organizational skills required; Must be able to assume a flexible work schedule.
 
 
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED
The requirements listed below are representative of the knowledge, skill, and/or ability required, with or without reasonable accommodation. 
 
  • Working knowledge of medical terminology.
  • Knowledge of HCPCS coding.
  • Knowledge of ICD 9 coding.
  • Knowledge of electronic billing.
  • Excellent calculation/math skills.
  • Ability to understand insurance contracts for billing purposes.
  • Ability to prioritize and handle multiple tasks and projects concurrently.
  • Demonstrated knowledge and proficiency in the principles, procedures and best practices related to this position.
  • Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office.
  • The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data.
  • Strong attention to detail.
  • Proficient analytical skills.
  • Proficient in MS Office.
 
 
Language Skills
Ability to read, analyze and interpret information appropriate to duties and responsibilities assigned.  Ability to operate information systems, follow policy, complete required forms, and prepare reports.  Ability to effectively present information and respond to questions from patients, and payors.
 
Mathematical Skills
Ability to perform basic mathematical calculations.
 
Reasoning Ability
Ability to define problems, collect data, establish facts, and draw valid conclusions. 
 
BioScrip is an equal opportunity employer.  All employment decisions are made without regard to age, color, race, ancestry, national origin, disability, genetic information, military status, religion, creed, sex, pregnancy, childbirth, marital status, citizenship, sexual orientation, gender identity, gender expression, legally protected medical condition, or any other basis prohibited by applicable law.  Background checks and drug screens are part of our hiring process.  AA/EOE, M/F/D/V.
 
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