CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

Advent Health Respiratory and Equipment (AHRE) is a leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. A unique joint venture partnership between Advent Health and CarepathRx, AHRE has the unique opportunity to grow significantly as we expand to serve Advent Health’s expanding footprint of facilities and services throughout Florida.

The Accounts Receivable Specialist is responsible for maintaining timely and accurate account receivables claims and systems.

Responsibilities

Verify all data around patient/claim and find out why it has been denied

Responsible for timely re-submission and accuracy for billing claims

Responsible for accurate submission of necessary documentation to the insurance companies with claims

Follow-up on all denials within 72 hours of receipt

Participate in accurate collection activities and accounts receivable management.  This includes mailing second and third notices to past due accounts and letters of patient responsibility

Obtaining prior authorizations and medical records both via portals and phone

Post payments to accounts and submit check requests for accounts overpaid

Manage accounts receivable to reflect collectable dollars

Responsible for knowing and complying with applicable policies and procedures

Answering/handling incoming calls regarding claims that were billed/denied to both patients and insurance companies.

Making outbound calls to patients regarding need of updated insurance, documentation needed for continuation of care and billing insurances, prior authorizations, picking up rental equipment, transitioning care, etc.

Other duties as assigned

Skills & Abilities

Proficient computer skills

Knowledge of medical terminology

Skilled in billing, cash posting and collection activities

Highly organized with a strong attention to detail

Excellent communication skills

Ability to multitask in a fast-paced environment

Requirements

High School diploma or GED

At least one year experience in medical collections activities

Must be proficient in Microsoft products including outlook and Excel

Health experience is preferred

Proficiency in the Microsoft Suite

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants encouraged to apply. Drug-free work environment. Must be eligible to work in this country.