Billing Coordinator

Location: Lewisville, Texas
Posted On: 9/13/2017
Job Code: 5470_BILLCRDITR_TX
Job Description
Job Role: The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and dispense of product in a timely manner.

Description of Work:
•Prioritize assignments and work with a sense of urgency
•Investigate and resolve patient/physician inquiries and concerns in a timely manner
•Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
•Must be able to manage multiple concurrent assignments.
•Must communicate clearly and effectively in both a written and verbal format
•Proactive follow-up with various contacts to ensure patient access to therapy

Key Characteristics:
•Adaptable and Flexible
•Self-Motivated and Dependable
•Problem Solving
•Team Spirited
•Punctual and Efficient
•Great work attitude

•Experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals is a must
•Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies is a must
•Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
•Knowledge of ICD9/ICD10 coding is preferred
•Critical and creative thinking is a must
•Important to have a strong attention to detail
Category:Non-IT  code:new
Job Requirements
Access, LAN

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Contact Details
Devyanshu Agrawal