Infusion Billing Specialist

Job Summary:

Reporting to the Site Supervisor, the Biologic Billing Specialist will provide billing support to the Practice by coding and entering infusion charges.

Duties/Responsibilities:

• Review and code infusions using all pertinent clinical information
• Enter charges using established workflows and timeframes for posting
• Research and resolve unpaid claims and credit balances in established timeframe
• Submit appeals as needed
• Verify coverage and confirm Verification of Benefits
• Complete enrollments for patient savings programs as needed
• Maintain current knowledge of covered and non-covered CPT and ICD 10 coding by using monthly payer bulletins and updates provided by Team Lead, Supervisor or Manager
• Communicate with Biologic Triage Team and Infusion Center Nurses as needed
• Utilize Payer Websites when available
• Communicate issues with provider reps as needed
• Follow established policies, control processes, procedure and guidelines
• Check email frequently throughout the day to ensure all communications are received
• Other duties as assigned

Required Skills/Abilities:

• Strong problem-solving skills
• Possess strong computer skills, including proficiency in Excel
• Demonstrate excellent oral and written communication skills in order to effectively communicate with patients, physicians, peers, insurance companies and pharmacy personnel
• Have a broad knowledge of medical terminology
• Have the ability to prioritize and multi-task and must be able to function in a fast paced, at times, stressful environment
• Be able to function independently and as part of a team
• Proficient in EPIC

Qualifications

Education: High School Diploma or GED required; associates degree preferred.

Experience: Minimum two (2) years of Infusion billing experience required.

Additional Qualifications: N/A

Requirements for Level I Status:

• Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision.
• Excess of 4 years experience if meeting only the basic requirements of the job with need for additional supervision.

Performance Requirements:

• Excellent communication skills, both written and verbal.
• Proficient technical (computer) skills.
• Ability to multi-task and prioritize.
• Self-motivated with initiative.
• Strong sense of ethics.

GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.

Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

No phone calls or agencies, please.

EEO/AA-M/F/disabled/protected veteran