What are the responsibilities and job description for the Payment Specialist position at ProHealth Pharmacy Solutions, LLC?
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:
Requirements
Accurately and timely applies all payments and contractual adjustments according to departmental procedures.
Process refunds for patient overpayments monthly.
Responsible for identifying payer trends & reporting to the management team.
Analyzing contracts, understanding per-diem rates Vs. drug rates.
Responsible for making the appropriate adjustments to claims.
Forward paper denials included on payment advice & remittance to A/R coordinator for daily follow-up.
Perform other duties as assigned by the supervisor.
Qualifications
Good computer & communication skills.
Knowledge of medical terminology.
One-year experience in billing, cash posting, and collection procedures, preferably in healthcare.
Able to handle multiple tasks in a stressful environment.
CPR and or Caretend experience
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 are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.
