Want Home Infusion Reimbursement Coordinator (Remote) in USA
Job title: Home Infusion Reimbursement Coordinator (Remote)
Company: ResMed
Job description: You could say Brightree by ResMed is a technology company. And thats true. But Brightree is, at its heart, about people. We develop innovative, end-to-end technology solutions and services for people facing everyday challenges in the post-acute care industry. Brightree helps streamline processes, improve efficiency, and increase profitability. For over fifteen years, organizations big and small have put their trust in usfor our wide-ranging solutions, our leadership, and our unmatched customer service. Going to work each day and creating new ways to positively impact our customers businesses and the lives of patients is just what we do. Because Brightree is, after all, about people.
To learn more about Brightree technology and solutions watch this short video by our CEO:
This position is responsible for financial results of the insurance companies and Brightree home infusion/pharmacy customers. In addition, this role is, responsible for identifying and following policies, procedures and systems for quality assurance as directed by Medicare, Medicaid and Private insurance. Assist in creating and revising our standard operating procedures and educate our partners, vendors, and internal teams on those procedures. Responsible for quality assurance of work performed by internal team members.
Lets talk about Responsibilities
Understanding all general rules, guidelines, and methods to get paid from the insurance companies for which they are assigned
Responsible for the financial results of the insurance companies and Brightree customers by ensuring accuracy:
Reducing Credit Adjustments and write Offs
Ensure that the billing methodology for each payer is documented and set-up throughout the Brightree system to realize maximum reimbursement
Propose changes and updates to the configuration of the customers Brightree system including but not limited to price tables, insurance settings, modules adoption, additional services, identifying areas of opportunites to better streamline internal and external processes, system enhancements to the Brightree system, process improvements to increase efficiency.
Prepares and submits reports to team lead as needed including but not limited to: quality assurance reporting, denial analyst reporting, service level agreement reporting.
Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals
Maintains patient confidentiality and function within the guidelines of HIPAA
Lets talk about Qualifications and Experience
Required:
High school diploma required; equivalent combination of education and experience will be considered
Minimum of 2 years of home infusion billing or accounts receivable experience required
Minimum of 2 years of experience working in & maintaining HIPAA standards
Highly skilled in using computers & Microsoft products (Excel and Word) is required
Highly motivated in billing, claims, denials and document management to work with our internal and external customers on the phone or via software applications
Math aptitude
Strong problem-solving skills focused on resolving complex home infusion claims
An effective communicator with strong oral, written and persuasive skills and capability to deal with people at all levels in the organization and the public in a professional manner
Exceptional organizational skills with a high level of attention to detail and the ability to multitask
Self-starter, results driven, highly motivated, high energy
Proven track record of working towards and exceeding metrics strongly preferred
Preferred:
A 2-year degree or additional college coursework
5 years of experience in a healthcare reimbursement role
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the worlds best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance.
Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
Individual pay decisions are based on a variety of factors, such as the candidates geographic work location, relevant qualifications, work experience, and skills.
Subject to the absolute discretion of the company, this role is eligible for an annual cash bonus payment based on company, business unit, and/or individual performance.
Subject to the absolute discretion of the company, this role may be eligible to receive stock equity based on company, business unit, and/or individual performance.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this position is:
16.30 - 20.37 - 24.44 USD Hourly
For remote positions located outside of the US, pay will be determined based the candidates geographic work location, relevant qualifications, work experience, and skills.
Joining us is more than saying yes to making the world a healthier place. Its discovering a career thats challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now!
Expected salary:
Location: USA
Apply Now
Company: ResMed
Job description: You could say Brightree by ResMed is a technology company. And thats true. But Brightree is, at its heart, about people. We develop innovative, end-to-end technology solutions and services for people facing everyday challenges in the post-acute care industry. Brightree helps streamline processes, improve efficiency, and increase profitability. For over fifteen years, organizations big and small have put their trust in usfor our wide-ranging solutions, our leadership, and our unmatched customer service. Going to work each day and creating new ways to positively impact our customers businesses and the lives of patients is just what we do. Because Brightree is, after all, about people.
To learn more about Brightree technology and solutions watch this short video by our CEO:
This position is responsible for financial results of the insurance companies and Brightree home infusion/pharmacy customers. In addition, this role is, responsible for identifying and following policies, procedures and systems for quality assurance as directed by Medicare, Medicaid and Private insurance. Assist in creating and revising our standard operating procedures and educate our partners, vendors, and internal teams on those procedures. Responsible for quality assurance of work performed by internal team members.
Lets talk about Responsibilities
Understanding all general rules, guidelines, and methods to get paid from the insurance companies for which they are assigned
Responsible for the financial results of the insurance companies and Brightree customers by ensuring accuracy:
Reducing Credit Adjustments and write Offs
Ensure that the billing methodology for each payer is documented and set-up throughout the Brightree system to realize maximum reimbursement
Propose changes and updates to the configuration of the customers Brightree system including but not limited to price tables, insurance settings, modules adoption, additional services, identifying areas of opportunites to better streamline internal and external processes, system enhancements to the Brightree system, process improvements to increase efficiency.
Prepares and submits reports to team lead as needed including but not limited to: quality assurance reporting, denial analyst reporting, service level agreement reporting.
Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals
Maintains patient confidentiality and function within the guidelines of HIPAA
Lets talk about Qualifications and Experience
Required:
High school diploma required; equivalent combination of education and experience will be considered
Minimum of 2 years of home infusion billing or accounts receivable experience required
Minimum of 2 years of experience working in & maintaining HIPAA standards
Highly skilled in using computers & Microsoft products (Excel and Word) is required
Highly motivated in billing, claims, denials and document management to work with our internal and external customers on the phone or via software applications
Math aptitude
Strong problem-solving skills focused on resolving complex home infusion claims
An effective communicator with strong oral, written and persuasive skills and capability to deal with people at all levels in the organization and the public in a professional manner
Exceptional organizational skills with a high level of attention to detail and the ability to multitask
Self-starter, results driven, highly motivated, high energy
Proven track record of working towards and exceeding metrics strongly preferred
Preferred:
A 2-year degree or additional college coursework
5 years of experience in a healthcare reimbursement role
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the worlds best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance.
Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
Individual pay decisions are based on a variety of factors, such as the candidates geographic work location, relevant qualifications, work experience, and skills.
Subject to the absolute discretion of the company, this role is eligible for an annual cash bonus payment based on company, business unit, and/or individual performance.
Subject to the absolute discretion of the company, this role may be eligible to receive stock equity based on company, business unit, and/or individual performance.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this position is:
16.30 - 20.37 - 24.44 USD Hourly
For remote positions located outside of the US, pay will be determined based the candidates geographic work location, relevant qualifications, work experience, and skills.
Joining us is more than saying yes to making the world a healthier place. Its discovering a career thats challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now!
Expected salary:
Location: USA
Apply Now