Medical Billing Specialist
Remote
Full Time
Experienced
About the Company
Launched in 2018, OI Infusion aims to improve the patient and provider experience while simultaneously lowering costs for both providers and payers. The company operates both an infusion management service organization (MSO) and a network of multi-site ambulatory specialty infusion centers, called Novella. The MSO business line offers services such as staffing, managing operations, and revenue cycle operations for physician practices, enabling the specialty groups to provide infusion services to their patient base. We help our partners treat their patients in a comfortable, convenient, and affordable setting. The Novella ambulatory specialty infusion centers, allow for the business to contract directly with payers and are a major lever for future growth. Since its inception, Novella has scaled to operate over 35 clinics in the New England region.
Objective
The billing specialist will ensure that claims go out in a timely and accurate manner. They will use their billing and coding knowledge to confirm clean claims are being accepted by the clearinghouse and payor and work on any rejections or corrected claims as needed. The billing specialist must have a solid grasp on professional billing in order to identify billing errors and proactively communicate and fix set-up or billing issues that prevent clean claims from going out the door.
Location - Remote
Pay - $22.00 - $30.00 per hour
Schedule - Mon - Fri core business hours (40 hours a week)
Responsibilities
Launched in 2018, OI Infusion aims to improve the patient and provider experience while simultaneously lowering costs for both providers and payers. The company operates both an infusion management service organization (MSO) and a network of multi-site ambulatory specialty infusion centers, called Novella. The MSO business line offers services such as staffing, managing operations, and revenue cycle operations for physician practices, enabling the specialty groups to provide infusion services to their patient base. We help our partners treat their patients in a comfortable, convenient, and affordable setting. The Novella ambulatory specialty infusion centers, allow for the business to contract directly with payers and are a major lever for future growth. Since its inception, Novella has scaled to operate over 35 clinics in the New England region.
Objective
The billing specialist will ensure that claims go out in a timely and accurate manner. They will use their billing and coding knowledge to confirm clean claims are being accepted by the clearinghouse and payor and work on any rejections or corrected claims as needed. The billing specialist must have a solid grasp on professional billing in order to identify billing errors and proactively communicate and fix set-up or billing issues that prevent clean claims from going out the door.
Location - Remote
Pay - $22.00 - $30.00 per hour
Schedule - Mon - Fri core business hours (40 hours a week)
Responsibilities
- Bill assigned sites daily within 48 hours of treatment
- Review claims prior to submission to confirm coding and billing guidelines are met. Emphasis on billing accuracy and transmitting clean claims
- Monitor and track all claims to ensure successful transmission
- Review and correct claims returned or rejected by the clearinghouse
- Manage billing and exception queues including the billing discrepancy report, pending rebills/corrections, and no claim on file report
- Perform month end tasks and reporting such as updating the month-end tracker
- Document any billing errors and corrections done and report necessary claims on the issues detail tracker
- Communicate any system set-up issues and assist in finding and implementing the resolution
- Stay informed of new billing guidelines and coding updates
- Research billing requirements of new drugs
- Perform other duties as assigned by supervisor
- Knowledge of CPT, HCPCS, and ICD-10 coding
- Expertise in health insurance billing rules and regulations
- Understanding payor requirements
- Previous medical billing experience
- Ability to evaluate options and to make efficient decisions
- Strong written and verbal communication
- Infusion background highly preferred
- Exhibit overall behavior and actions that demonstrate willingness to learn, be coached, and take accountability for self-improvement and growth; be a collaborative team player.
- Medical, dental and vision coverage
- Company paid Short Term Disability
- Employee Assistance Program
- Paid Time Off including PTO and paid holidays
- Paid Parental Leave
- 401k w/ employer match
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