This is a fully remote position, open to applicants in United States.

📋 Description

• Prioritize and execute all assigned responsibilities

• Conduct payer audits promptly and meet deadlines

• Stay updated on state and federal guidelines as well as payer requirements, including Medicare, Medical Assistance, Highmark, and UPMC Health Plan

• Execute quarterly quality audit checks

• Carry out quality audits on new employees until they meet the accuracy threshold

• Conduct audits on claim denials

• Perform ongoing quality focus audits related to billing and collection activities

• Support training on recurring errors identified during quality audits

• Assist in creating Standard Operating Procedures

• Undertake special projects as requested

• Act in accordance with system-wide competencies and behaviors

• Examine claim submissions for accuracy and identify root causes of claim issues

• Resolve discrepancies and communicate findings with leadership

⛳️ Requirements

• High School diploma or GED is mandatory

• Proficient in the Microsoft Office Suite

• Over 3 years of experience in the home infusion revenue cycle

• In-depth knowledge of Federal and State billing guidelines

• Basic understanding of medical terminology is required

• Exceptional verbal and written communication skills

• Strong focus on customer service

• Excellent problem-solving abilities

• Strong interpersonal and organizational skills, with the capability to manage multiple tasks simultaneously while paying attention to detail

• Experience with CPR+ Software

• Familiarity with ICD-10, CPT-4, HCPCS, and Medicare billing is preferred

• Must have a home internet connection via cable broadband or fiber optic service provider, with minimum speeds of 10Mbps download/5Mbps upload, when working from home

🏝️ Benefits

• Eligibility for an annual bonus plan

• Medical, vision, and dental insurance

• Well-being and behavioral health programs

• 401(k) plan

• Company-paid life insurance

• Tuition reimbursement

• Minimum of 18 days of paid time off annually

• Paid holidays

• Leaves of absence

• Option for remote work

• Requirement for cable broadband or fiber optic internet service for home working, with at least 10Mbps download/5Mbps upload

Transaction Coordinator