Collection Specialist

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: Responsibilities Manage assigned book of business: Billing, collections, contractual postings, payments and adjustments of accounts Billing of pharmacy claims via NCPDP Collection and adjustment review Evaluate and recommend referrals to agencies, law firms, financial assistance or bad debt Identify issues and submit corrective action recommendations to eliminate future denials Verify accuracy of payment postings and reimbursements and work to resolve any payment discrepancies Assist in the claim appeal process knowledge, Skills & Abilities Strong customer service and interpersonal skills Effective written and verbal communication Excellent organization, problem solving skills and attention to detail Meet the quality assurance and benchmark standards set by the management team Knowledge of patient accounting systems, third party billing and collections guidelines Ability to communicate with patients, payers and outside agencies through telephone, electronic and written correspondence Requirements High School diploma or GED Collections or medically billing experience with an understanding of ICD9, CPT4, HCPCS and medical terminology is preferred Familiarity with third party payer guidelines, reimbursement practices and available financial resources 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. CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results. Through the industry’s most comprehensive, end-to-end hospital pharmacy care delivery model, CarepathRx is turning hospital pharmacy into an active care management strategy and revenue generator while providing support across the patient’s complete healthcare journey. The company takes an enterprise approach, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services that optimize pharmacy performance across the enterprise for fully integrated pharmacy operations, expanded healthcare services, improved ambulatory access, minimized clinical variation and new health system revenue streams. Today, CarepathRx serves more than 15 health systems and 600 hospitals, with more than 2,400 employees nationwide. For more information about CarepathRx, visit our website. We are always searching for the best talent to join our growing organization. Check out our available opportunities by using the search functionality and filtering options at the top! CarepathRx offers full-time employees a comprehensive benefits package that includes: Paid Company Holidays Paid Time Off and Volunteer Time Off Medical, Dental and Vision Benefits for you and your family 401(k) with Company Match Company-paid Life Insurance and Disability Benefits Supplemental Insurance packages Don't see an open opportunity that matches your skill set just yet? Please click Get Started below or click Introduce Yourself in the top right corner of the page to share your information with us. We will reach out when something becomes available! Additionally, create an account with CarepathRx Careers to set up Job Alerts if something becomes available that peaks your interest! To create an account with CarepathRx Careers, click on Sign In in the top right corner. Once you have created an account and are logged in, click on Job Alerts in top right corner and Create Job Alert! We hope you find a fulfilling career with CarepathRx!