CarepathRx

Onboarding Specialist

• Obtains patient referral data from referral sources via phone
• Answer incoming phone calls pertaining to referrals
• Perform clerical duties as requested
• Documents initial referral information
• Identifies and documents patient team assignment
• Notifies intake coordinator of pending referrals
• Enters new patient information into computer system as needed
• Assists Intake with phone communication as needed
• Assures accurate transfer of patient insurance information
• Provides customer service to internal and external customers
• Performs in accordance with system-wide competencies/behaviors
• Performs other duties as assigned

Billing Specialist

Accounts Receivable Specialist is responsible for maintaining timely and accurate account receivables claims and systems. Responsibilities Verify all data around patient/claim and find out why it has been denied
Responsible for timely re-submission and accuracy for billing claims
Responsible for accurate submission of necessary documentation to the insurance companies with claims
Follow-up on all denials within 72 hours of receipt
Participate in accurate collection activities and accounts receivable management. This includes mailing second and third notices to past due accounts and letters of patient responsibility
Obtaining prior authorizations and medical records both via portals and phone
Post payments to accounts and submit check requests for accounts overpaid
Manage accounts receivable to reflect collectable dollars
Responsible for knowing and complying with applicable policies and procedures
Answering/handling incoming calls regarding claims that were billed/denied to both patients and insurance companies.
Making outbound calls to patients regarding need of updated insurance, documentation needed for continuation of care and billing insurances, prior authorizations, picking up rental equipment, transitioning care, etc.
Other duties as assigned