Job Type
Part-time
Description
Soleo Health is seeking a Part-time Reimbursement Specialist to work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
No Weekends or Holidays!
Flexible schedules
Great company culture
401(k) with a match
Referral Bonus
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
Complementary Telehealth Plan
HSA & FSA (including dependent care) options
Paid Time Off
The Position:
The Reimbursement Specialist will effectively perform the billing and collection activities necessary to facilitate the payment for the services provided. Responsibilities include:
Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical).
Creates and submits secondary medical claims in a timely manner
Monitors billing requirements pursuant to contracts with third party payers or government programs.
Reviews payments/EOBs applied to invoice to ensure that correct payment has been received
Addresses payer and electronic transmission rejections
Researches claim denials and follows-up with payer for resolution
Monitors payer correspondence and provides requested information, as appropriate.
Makes routine collection calls on outstanding claims.
Research refund requests received by payers and prepare refund according to findings.
Documents notes in a clear and concise fashion in Company software system.
Identifies issues/trends and escalates to Manager when assistance is needed.
Provides exceptional Customer service to internal and external customers.
Ensures compliance with federal, state, and local governments, third party contracts, and company policies.
Schedule:
Monday-Friday 8:00am – 2:30pm
Part-time
Remote
Requirements
Knowledge of home infusion therapy billing practices, preferred
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
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo’s Core Values:
Improve patients’ lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Salary Description
$20-$24