Reimbursement Specialist - Remote

Overview

Soleo Health is seeking a Reimbursement Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!

In Short

• Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services.
• Creates and submits secondary medical claims in a timely manner.
• Monitors billing requirements pursuant to contracts with third party payers.
• Reviews payments and explanation of benefits (EOBs) applied to invoices.
• Addresses payer and electronic transmission rejections.
• Researches claim denials and follows-up with payers.
• Monitors payer correspondence and provides requested information.
• Makes routine collection calls on outstanding claims.
• Documents notes in a clear and concise fashion in Company software system.
• Ensures compliance with federal, state, and local regulations.

Requirements

• Knowledge of home infusion therapy billing practices required.
• Knowledge of HCPC coding and medical terminology.
• Excellent math and writing skills.
• Experience providing customer service to internal and external customers.
• CPR+ systems experience preferred.
• Excel and Outlook experience required.
• High School Diploma or GED required.

Benefits

• Competitive Wages.
• 401(k) with a Match.
• Referral Bonus.
• Paid Time Off.
• Great Company Culture.
• Annual Merit Based Increases.
• No Weekends or Holidays.
• Paid Parental Leave Options.
• Affordable Medical, Dental, & Vision Insurance Plans.
• Company Paid Disability & Basic Life Insurance.
• HSA & FSA Options.
• Education Assistance Program.