Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

As a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a thriving workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.

Job Description Summary:

Acts as a lead, coordinating the work of Reimbursement Specialists. Resolves more complex inquiries and/or complaints escalated by the Reimbursement Specialists. Performs all duties of the Reimbursement Specialist job.

Job Description: ​

Job Responsibilities:

Acts as a resource for colleagues; may direct the work of other staff members.May assist in training of new team members and may provide input to the employees’ performance evaluations.Acts as Subject Matter Expert and works autonomously to handle more complex issues related to the collections, within established procedures and practices.Submits timely, accurate invoices to payer for products and services provided.  Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.  Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment.Follows up on invoices submitted to ensure prompt and timely payment.  Calls to verify that claims submitted were received and are in processing.  Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame.  Generates and mails statements and collections letters per Option Care policy.  Follows-up on all denials within 48 hours of receipt.Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.

Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.

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Basic Education and/or Experience Requirements:

High School Diploma or equivalentMinimum 1 year of healthcare intake/admission and/or reimbursement experienceDemonstrated leadership and complex problem-solving capabilities

Basic Qualifications & Interests:

Experience in identifying operational issues and recommending and implementing strategies to resolve problems.Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).

Preferred Qualifications & Interests:

Certified Professional Coder (CPC) from AAPC or AHIMA

This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $24.31-$40.50

Benefits:

-401k

-Dental Insurance

-Disability Insurance

-Health Insurance

-Life Insurance

-Paid Time off

-Vision Insurance

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

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Posted: Jan 06, 2025