The specialist processes payer refund requests and manages disputes by researching reimbursement accuracy and adhering to regulations. They collaborate with internal teams to resolve coordination of benefit issues and track payer trends to optimize cash collections.
Amerita
7 Remote Job Openings at Amerita
Manage the main fax server and electronic prescription queue to ensure accurate patient profile setup and drug order processing. Coordinate with pharmacy staff and healthcare providers to triage communications and maintain medication histories.
Oversee daily revenue cycle operations and lead a team of collections staff to optimize cash flow and minimize bad debt. Ensure all billing and collection activities comply with federal, state, and payer-specific regulations while maintaining high patient satisfaction.
Manage the Ready to Bill queue to ensure accurate and timely creation of claims and invoices. Coordinate with branches to resolve billing documentation issues and ensure compliance with payer guidelines.
The specialist manages stakeholder and executive relationships by resolving escalated payer issues and tracking performance to reduce AR impact. They are responsible for creating project reports, developing SOPs, and ensuring compliance with medical policies and regulatory requirements.
Manage a designated territory by providing education and care coordination to prescribers for infusion products and services. Act as a single point of contact to evaluate referrals and collaborate with field sales to achieve growth goals.
Manage a designated territory by providing education and care coordination to prescribers for infusion products and services. Act as a single point of contact to evaluate referrals and collaborate with outside sales to meet performance goals.