Billing Coordinator

ProHealth Pharmacy Solutions, LLC
Maitland, FL Full Time
POSTED ON 11/21/2022 CLOSED ON 2/10/2023

Job Posting for Billing Coordinator at ProHealth Pharmacy Solutions, LLC

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 1,500 employees nationwide. For more information about CarepathRx, visit http://www.carepathrxllc.com/ 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: HCN Billing: Bill assigned charges (subject to change on responsibilities per manager/supervisor): Making sure all documentations are filed and Medforce (delivery slip, Mixing report, and visit notes), as well as making sure authorization is approved for patient’s services. Submitting/posting claims in a timely manner. Familiar with Pharmacy Benefits Management billing. Review copayments and provide daily phone calls to patients. Review patient’s account to assure payers are loaded correctly by review/verify patient’s eligibility and insurance verification. Review and assure the correct allowable are loaded for the specific payer being worked. Waystar claim rejections: Review rejected claims due to diagnosis issues or insurance issues. Sending Diagnosis issues to intake to review and correct. Calling patient to verify patient’s insurance is correct. Check to see if future service dates are being submitted timely. Phones: Training is provided within 30-60 days in training. For new hires, you are expected to be on the phones and available once your training is completed. All team members are expected to be in phone queue and in available status. 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.
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Job openings at ProHealth Pharmacy Solutions, LLC

ProHealth Pharmacy Solutions, LLC
Hired Organization Address Remote, CT Full Time
CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combinati...
ProHealth Pharmacy Solutions, LLC
Hired Organization Address Remote, FL Full Time
CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combinati...
ProHealth Pharmacy Solutions, LLC
Hired Organization Address Maitland, FL Full Time
CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combinati...
ProHealth Pharmacy Solutions, LLC
Hired Organization Address Remote, MD Full Time
CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combinati...

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