Current jobs related to Reimbursement Specialist - Frisco - Soleo Health Inc

  • Reimbursement Specialist

    6 days ago

    Frisco, Texas, United States Addus HomeCare Full time

    Reimbursement SpecialistWe are seeking a highly skilled Reimbursement Specialist to join our team at Addus HomeCare. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for our patients.Key Responsibilities:Accurately interpret patient insurance, prescription, and other health-related...

  • Reimbursement Specialist

    3 days ago

    Frisco, Texas, United States Ambercare Full time

    Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team at Ambercare. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesConduct thorough insurance verifications and investigations for commercial and government payorsCommunicate...

  • Reimbursement Specialist

    7 days ago

    Frisco, Texas, United States Ambercare Full time

    Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team at Ambercare. As a key member of our revenue cycle management team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesConduct thorough insurance verifications and investigations for commercial and government...

  • Reimbursement Specialist

    5 days ago

    Frisco, Texas, United States Addus Homecare Full time

    Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team at Addus Homecare. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesConduct thorough insurance verifications and investigations for commercial and government...

  • Reimbursement Specialist

    2 weeks ago

    Frisco, Texas, United States Ambercare Full time

    Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team at Ambercare. As a key member of our revenue cycle management team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesConduct thorough insurance verifications and investigations for commercial and government...

  • Reimbursement Specialist

    2 days ago

    Frisco, Texas, United States Ambercare Full time

    Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team at Ambercare. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesAccurately interpret patient insurance, prescription, and other health-related documentationConduct medical...

  • Reimbursement Cycle Specialist

    4 weeks ago

    Frisco, Texas, United States Ambercare Full time

    To apply via text, text 6642 to Position Overview: The Reimbursement Cycle Specialist is tasked with evaluating and reporting on essential business indicators within the Reimbursement division. This role primarily focuses on monitoring and presenting data that informs strategic decisions, management oversight, and productivity across various business metrics...

  • Reimbursement Specialist

    2 weeks ago

    Frisco, Texas, United States Addus HomeCare Full time

    About the RoleWe are seeking a highly skilled Reimbursement Specialist to join our team at Addus HomeCare. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesAccurately interpret patient insurance, prescription, and other health-related documentation to ensure...

  • Reimbursement Specialist

    4 weeks ago

    Frisco, Texas, United States Addus HomeCare Full time

    Job Summary:Addus HomeCare is seeking a skilled Reimbursement Specialist to join our team. As a Reimbursement Specialist, you will play a critical role in ensuring accurate and timely reimbursement for our patients.Key Responsibilities:Conduct thorough insurance benefit investigations for new referrals and assignments of collections with various...

  • Reimbursement Specialist

    2 days ago

    Frisco, Texas, United States Collabera Full time

    Job Title: Reimbursement CounselorWe are a leading provider of contingent labor solutions, with a strong presence in Morristown, NJ. Our team has been dedicated to delivering exceptional service to our clients for over 25 years.The end client for this project is a prominent legal organization with a global footprint, employing over 50,000 professionals...

  • Reimbursement Specialist

    2 weeks ago

    Frisco, Texas, United States Addus HomeCare Full time

    Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team at Addus HomeCare. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesConduct thorough insurance benefit investigations and verify patient coverageAccurately interpret patient...

  • Reimbursement Specialist

    1 week ago

    Frisco, Texas, United States Collabera Full time

    Job Title: Reimbursement CounselorWe are a leading provider of contingent labor solutions, with a strong presence in Morristown, NJ. Our team has been dedicated to delivering exceptional service to our clients for over 25 years.The end client for this project is a prominent legal organization with a global footprint, employing over 50,000 professionals...

  • Senior Reimbursement Manager

    2 months ago

    Frisco, United States Soleo Health Inc Full time

    Job DescriptionJob DescriptionDescription:Soleo Health is seeking a Senior Reimbursement Manager to support us Remotely (USA). Join us in Simplifying Complex Care! Soleo Health Perks:Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases Paid Parental Leave Options Affordable Medical, Dental, &...

  • Reimbursement Specialist

    2 months ago

    Frisco, United States Addus HomeCare Full time

    Requisition #: 6612 Location: Frisco, TX 75034 Category: Billing Service Line: Support Center > > We offer our team the best

  • Travel Nurse RN Specialist

    1 week ago

    Frisco, Texas, United States JobFlurry-Lensa-US Full time

    Job Title: Travel Nurse RN SpecialistWe are seeking a skilled Travel Nurse RN Specialist to join our team at Go Healthcare. As a Travel Nurse RN Specialist, you will be responsible for providing high-quality patient care in the NICU - Neonatal Intensive Care unit.Job Details:Specialty: NICU - Neonatal Intensive CareDiscipline: RNShift: 12 hours,...

  • Travel Nurse RN Labor and Delivery Specialist

    3 weeks ago

    Frisco, Texas, United States Anders Group Full time

    Job Title: Travel Nurse RN Labor and Delivery SpecialistJob Summary:Anders Group is seeking a skilled Travel Nurse RN Labor and Delivery Specialist to join our team. As a Travel Nurse RN Labor and Delivery Specialist, you will be responsible for providing high-quality patient care in a Labor and Delivery setting.Responsibilities:Provide direct patient care...

  • Senior Accounting Specialist

    1 month ago

    Frisco, United States Keurig Dr Pepper Full time

    Keurig Dr Pepper (KDP) is seeking a Senior Specialist to join the Route Accounting team. This individual will assist with the daily reconciliations of direct store deliveries across all national delivery routes, including investigating and reporting any negative trends identified during reconciliation. Senior Specialist will work closely with business...

  • Therapy Care Specialist

    5 days ago

    Frisco, Texas, United States Soleo Health Inc Full time

    Job Title: Therapy Care SpecialistSoleo Health is seeking a highly skilled Therapy Care Specialist to join our team. As a Therapy Care Specialist, you will play a critical role in ensuring the seamless delivery of specialty pharmacy services to our patients.Job Summary:The Therapy Care Specialist will work under the supervision of a Pharmacist to oversee the...

  • Customer Acquisition Specialist

    3 weeks ago

    Frisco, Texas, United States Evantage Inc Full time

    Job OverviewFull-Time Customer Acquisition Specialist Required in Sales / Marketing / Client Relations DepartmentEvantage, Inc. Recognized as a Leading WorkplaceEvantage is seeking a Full-Time Entry-Level Customer Acquisition Specialist in our sales, marketing, and client relations department. We offer comprehensive training across all areas of Sales,...

  • Medical Insurance Collections Specialist

    2 days ago

    Frisco, Texas, United States CornerStone Staffing Full time

    Job Title: Medical Insurance Collections SpecialistCornerStone Staffing is seeking an experienced Medical Insurance Collections Specialist to join our team. As a Medical Insurance Collections Specialist, you will be responsible for managing reimbursement cases, addressing claim denials, filing appeals, and consistently following up with insurance companies...

Reimbursement Specialist

3 months ago

Frisco, United States Soleo Health Inc Full time
Job DescriptionJob DescriptionDescription:

Soleo Health is seeking a Reimbursement Specialist to work Remotely (USA). Eastern Time Zone Preferred. Join us in Simplifying Complex Care


Soleo Health Perks:

  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • No Weekends or Holidays
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program


The Position:

The Reimbursement Specialist will effectively perform the billing and collection activities necessary to facilitate the payment for the services provided. Responsibilities include:

  • Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical).
  • Creates and submits secondary medical claims in a timely manner;
  • Monitors billing requirements pursuant to contracts with third party payers or government programs.
  • Reviews payments/explanation of benefits (EOBs) applied to invoice to ensure that correct payment has been received;
  • Addresses payer and electronic transmission rejections;
  • Researches claim denials and follows-up with payer for resolution;
  • Monitors payer correspondence and provides requested information, as appropriate;
  • Makes routine collection calls on outstanding claims;
  • Researches refund requests received by payers and prepares refund according to findings;
  • Documents notes in a clear and concise fashion in Company software system;
  • Identifies issues/trends and escalates to Manager when assistance is needed;
  • Provides exceptional Customer service to internal and external customers;
  • Ensures compliance with federal, state, and local governments, third party contracts, and company policies.

Schedule:

  • Monday-Friday 8:30am - 5:00pm ET
  • Remote
Requirements:
  • Home infusion experience required
  • Knowledge of home infusion billing and collections required
  • Knowledge of HCPC coding and medical terminology
  • Excellent math and writing skills
  • Experience providing customer service to internal and external customers
  • CPR+ systems experience preferred
  • Excel and Outlook experience required
  • High School Diploma or GED required


About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference


Soleo’s Core Values:

Improve patients’ lives every day

Be passionate in everything you do

Encourage unlimited ideas and creative thinking

Make decisions as if you own the company

Do the right thing

Have fun


Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.


Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.


Keywords: billing, collections, A/R, home infusion