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Reimbursement Specialist

Job Title
Reimbursement Specialist
Job ID
816571
Begin Date
8/20/14
Duration
Location
Morris Plains,  NJ
Other Location
Description
BioScrip, Inc. is one of the nation’s leading specialty home infusion companies!  Our focus is clinical excellence and improving the quality of our patients’ lives.  With over 2,500 employees able to service 46 states, BioScrip has externally-qualified Centers of Excellence built around specific clinical conditions and therapies, as well as Ambulatory Infusion Centers around the country.   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, an Employee Referral Program, and a 401(k) plan with a Company match.

Due to our exceptional growth and success, we are recruiting for a Reimbursement Specialist to join our team in Morris Plains, NJ!

SUMMARY
This position performs reimbursement functions with focus on billing and/or collections.  Assigned responsibilities are to be completed in compliance with federal, state and payor guidelines as well as with Company policy and procedure.
 
 
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 and/or performs collection calls and is persistent with aging accounts.
  2. Notifies supervisor of problem accounts.
  3. Processes denials and secondaries promptly.
  4. Submits appropriate documentation for adjustments to supervisor.
  5. Assists month-end closing as scheduled to assure timeliness.
  6. Attends required in-services each year.
  7. Works collaboratively with other departments, including operations and managed care, to improve reimbursement process and results.
  8. Each employee is responsible for adhering to those performance programs, policies, procedures, guidelines and internal control standards established to guide the operation of the Company.  Each employee must be made aware of and understand proper internal control procedures associated with their specific job function as communicated by his/her manager.
  9. Each employee is responsible for reporting concerns that he or she may have with respect to deficiencies in internal control.
  10. Performs other duties as assigned.
 
 
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 occasionally required to stand, walk, sit, reach outward, and handle/finger.
  • The employee is occasionally required to reach above shoulder, climb, crawl, squat, kneel and bend.
 
 

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 one (1) year reimbursement and/or insurance experience preferred.  Infusion, home health or DME experience is preferred;
 
 
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 NDC 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.
  • Strong interpersonal and communication skills and the ability to work effectively with branch departments.
  • 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.
Openings
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