What are the responsibilities and job description for the Reimbursement Specialist position at ContinuumRx?
ContinuumRx, the nation’s leading JV specialty and home infusion therapy expert, is seeking a full-time Reimbursement Specialists to add to our Specialty Team. The ideal candidate needs to possess strong interpersonal skills, have an energetic self-starter personality, and exhibits compassion in caring for people.
The Reimbursement Specialist role is responsible for monitoring and resolving patient accounts to ensure patient financial responsibility or out-of-pocket monies are collected. This role will develop and create relationships with the patient or guarantor, to assist with all financial inquiries, explanation of benefits and non-covered services. Roles and Responsibilities:
- Informs patient of home health/home infusion coverage and as appropriate, financial responsibility
- Creates Insurance Benefit Summary (IBS) documents as needed
- Collects out-of-pocket co-pays, deductibles, and co-insurance prior to services rendered in accordance with the insurance eligibility/coverage information provided by payor at time of insurance verification
- Collects payment from self-pay patients for non-covered services
- Processes patient-pay payments
- Documents all patient interaction in EMR as a billing note
- Resolves complicated inquiries or issues relating to patient accounts, to include screening for financial hardship and patient responsibility
- Manages, monitors, and reviews patient pay AR accounts according to established guidelines
- Ensures patient pay accounts are current Serves as a resource and problem resolution expert for patients, Intake and Sales Receives patient pay complaints and provides appropriate solutions, follow-up to ensure resolution
- As needed, verifies insurance coverage and eligibility through payor websites, E1 check, or by calling the payor directly. Documents information into EMR and communicates as appropriate to team members.
- Assists with Ready To Bill (RTB) as appropriate
- Performs other duties, special projects as assigned
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Work Location: Remote
