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Infusion Billing Specialist Ii

3 months ago

Chandler, United States Twelfth One LLC dba Aspen Infusion Full time

**JOB TITLE**: Infusion Billing Specialist II

**EMPLOYER**: Twelfth One, LLC dba Aspen Infusion

**DEPARTMENT**:Billing

**REPORTS TO**:Revenue Cycle Manager

**PAY RANGE**: $24 - $26 per hour based on experience

**SUMMARY**: The Infusion Billing Specialist is responsible for the accuracy and timeliness of the company’s billing functions and efficient processing, including interactions with the Reimbursement Team while maintaining accurate records.

**DUTIES AND RESPONSIBILITIES**:

- Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined.
- Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy, and ethical billing practices.
- Manage the Ready to Bill queue daily; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines.
- Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution.
- Conduct billing utilizing the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
- Review delivery tickets for accuracy and complete claims per payer-specific guidelines.
- Submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed.
- Research websites of assigned payers to bill for payer updates and share updates accordingly.
- Work within specified deadlines and stressful situations.
- Work overtime when necessary to meet department goals and objectives.
- Stay up to date on industry standards set by the Centers for Medicare & Medicaid (CMS), and commercial insurance plans by attending seminars, conferences, and other programming related to claims and billing.
- Performs other tasks or special projects as assigned by management.

**SUPERVISORY RESPONSIBILITIES**:

- This job has no supervisory responsibilities.

**QUALIFICATIONS**:

- High school diploma or general education degree (GED); some college a plus.
- A minimum of 3 to 5 years of experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience is a plus
- Medical and Billing Coding Certificate required
- Working knowledge of automated billing systems, experience with CareTend preferred
- Ability to independently obtain and interpret information
- Strong verbal and written communication skills
- Ability to prioritize, problem-solve, and multitask is required.
- Knowledge of CMS regulations and requirements regarding billing and coding.
- Experience working with all payers - commercial, government, Medicare, and Medicaid.
- Must be able to work in a fast-paced environment

**COMPETENCIES**:

- **Ethics** - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
- **Attendance/Punctuality** - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
- **Customer Service** - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- **Quality** - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
- **Teamwork** - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
- **Written Communication** - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
- **Oral Communication** - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

**PHYSICAL DEMANDS AND WORK ENVIRONMENT**:

- Continually required to stand, walk, sit, talk, and hear.
- Continually required to utilize hand and finger dexterity
- While performing the duties of this job, the noise level in the work environment is usually moderate
- The employee must occasionally lift and/or move up to 30 pounds
- Specific vision abilities required by this job include: Close vision; Depth perception and the ability to adjust focus

The above is intended to descri