Full-Time Tampa Accounts Receivables (AR) - Healthcare
Prosper InfusionTampa, FL
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Overview
Schedule
Full-time
Career level
Senior-level
Job Description
The Pharmacy AR Specialist is responsible for managing the accounts receivable (AR) processes related to buy-and-bill medications. This includes verifying insurance coverage, submitting claims, resolving billing discrepancies, and ensuring timely reimbursement from payers. The role requires collaboration with pharmacy teams, healthcare providers, and insurance companies to streamline the revenue cycle and minimize denials.
Claims Management:- Track claims to ensure timely processing and reimbursement.
- Identify and address claim rejections and denials promptly.
- Reconcile payments and outstanding balances for buy-and-bill medications.
- Maintain detailed records of payer communications and payment status.
- Follow up on unpaid or underpaid claims.
- Compliance and Documentation:
- Ensure claims comply with payer policies, coding standards, and regulations.
- Maintain organized and accurate documentation for audit purposes.
- Identify opportunities to optimize the buy-and-bill billing process.
- Implement solutions to enhance efficiency and reduce denials.
- Advanced knowledge of medical terminology, ICD 10, CPT, HCPCS coding and HIPAA requirements.
- Ability to communicate effectively, both orally and in writing
- Demonstrated proficiency in the use of computer and commonly used software, including electronic medical records (EMR).
- Extensive knowledge and experience with commercial, government and state billing and reimbursement procedures.
- Proficiency in insurance verification, prior authorization, and AR follow-up.
- Attention to detail, organizational skills, customer service orientation, and analytical thinking.
- Through leadership and by example, ensures that services are provided in accordance with state and federal regulations,organizational policy, and accreditation/compliance requirements.
- Promptly identify issues and reports them to their direct supervisor.
- Maintain regular and predictable attendance.
- Acts in accordance with CommUnityCare’s mission and values, while serving as a role model for ethical behavior.
- High School Diploma or equivalent
- College degree preferred
- 2 years medical billing, pharmacy billing, or revenue cycle management, particularly in buy-and-bill processes.
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FAQs About Full-Time Tampa Accounts Receivables (AR) - Healthcare Jobs at Prosper Infusion
What is the work location for this position at Prosper Infusion?
This job at Prosper Infusion is located in Tampa, FL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Prosper Infusion?
Employer has not shared pay details for this role.
What employment applies to this position at Prosper Infusion?
Prosper Infusion lists this role as a Full-time position.
What experience level is required for this role at Prosper Infusion?
Prosper Infusion is looking for a candidate with "Senior-level" experience level.
What is the process to apply for this position at Prosper Infusion?
You can apply for this role at Prosper Infusion either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.