Job Description
Join the Coram/CVS Health team as a Suspended Billing Rep and you will support our Enteral Nutrition Centers by performing timely reimbursement follow-up on patient accounts. Ensure that patient accounts do not go into a suspended billing status, potentially resulting in outside account collections. Partner with our billing centers to ensure that patient accounts are updated and all information is on file in order to be able to process the claim. This is not a medical billing position.
*** Please note this is a Work From Home role. However, candidates must be located in the Phoenix, AZ or Jackson, TN areas. ***
This is a full-time, direct hire, benefited position and is NOT through an agency. Typical work hours for this role are Monday – Friday, 8:30AM – 5:00PM, with an opportunity for over-time per business need.
As a Suspended Billing Rep you will…
* Follow-up on outstanding Certificates of Medical Necessity (CMN), Letters of Medical Necessity (LMN), prescriptions, renewals, expiring authorizations and other missing medical documentation to ensure that a patient’s account does not go into a suspended status.
* Enter prescription information into a database once received by a physician and escalate any aged prescriptions to the manager for resolution.
* Update insurance providers when a change to a patient account has occurred and work with the insurance company to obtain new authorizations for service.
* Communicate with patients, physicians and insurance companies to update them on status, orders and missing documentation.
Challenge your healthcare training or current billing knowledge and customer services skills to make a difference in a patient’s life by ensuring all supporting documentation has been completed and submitted to insurance companies for proper processing and payment. Individuals who can balance compassion and kindness with professionalism and customer service will thrive in this position. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement.
Coram CVS/specialty infusion services is a Fortune 5 company and national leader in the home infusion and enteral fields. This is uniquely rewarding opportunity putting your skills and experiences to work supporting an innovative specialty pharmacy operation.
Required Qualifications
* Minimum 1 year experience medical billing or collections work or experience working with accounts payable (A/P) or accounts receivable (A/R).
* Experience working in a customer service environment.
* Experience working in a healthcare environment.
* Experience working in Microsoft Office, specifically Excel, Outlook and Word.
Preferred Qualifications
* Strong data entry skills; typing speed of 50+ WPM (words per minute).
* Home infusion, enteral or durable medical equipment (DME) experience.
* Call center experience.
Education
Verifiable High School diploma or GED is required.