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Reimbursement Billing Specialist (20091125)

Job Snapshot
Location:
Albuquerque, NM 87109
Employee Type:
Full-Time
Industry:
Healthcare - Health Services
Manages Others:
No
Job Type:
Health Care
Education:
High School
Experience:
At least 2 year(s)
Travel:
None
Post Date:
11/2/2009
Contact Information
Ref ID:
303775
Description
OptionCare, a wholly owned subsidiary of Walgreens specializes in providing comprehensive care to patients with acute and chronic conditions in their homes, ambulatory treatment centers and physician offices. Its services include intake coordination, benefits and reimbursement support, medication fulfillment and administration, compliance and patient education, one-on-one care and customer service. Skilled nurses and pharmacists are accessible 24/7 to deliver and manage complex infusion and injectable therapies from more than 100 OptionCare home infusion and specialty pharmacies in 35 states. OptionCare's services also include respiratory therapy and home medical equipment at some locations.


Job Duties Include:  

The responsibilities of this position may include all or part of the following: Timely, accurate submission of invoices to the responsible payer for services and products provided. Ensure proper revenue recognition. Assist with billing training. Follow-up with responsible parties to ensure the receipt of timely, accurate payments. 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. Ensure proper revenue recognition Verifies that revenue reflected and billed according to contract in the proper operating system. Observe legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Walgreens-Option Care information.

Requirements

 

  • High School Diploma or equivalent. 
  • Ability to learn medical terminology. 
  • Ability to learn computer application software. 
  • Ability to  do basic mathematics. 
  • Ability to work independently and stay on task. 
  • Must demonstrate competence in various software applications including Excel and Monarch.  Must possess excellent interpersonal and customer service skills. 


Preferred Qualifications

  • Prior medical billing experience. 
  • Technical training in Medical Billing.

 

Experience Required

  • Two years of Medical Billing experience required. 
  • Cash posting experience a plus. 
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