OI Infusion

Medical Billing and Coding

• Bill assigned sites daily within 48 hours of treatment
• Review claims prior to submission to confirm coding and billing guidelines are met. Emphasis on billing accuracy and transmitting clean claims
• Monitor and track all claims to ensure successful transmission
• Review and correct claims returned or rejected by the clearinghouse
• Manage billing and exception queues including the billing discrepancy report, pending rebills/corrections, and no claim on file report
• Perform month end tasks and reporting such as updating the month-end tracker
• Document any billing errors and corrections done and report necessary claims on the issues detail tracker
• Communicate any system set-up issues and assist in finding and implementing the resolution
• Stay informed of new billing guidelines and coding updates
• Research billing requirements of new drugs
• Perform other duties as assigned by supervisor

Medical Billing Specialist

Customer Support

• Responsible for owning, handling, and resolving complex issues
• Oversees flow of inbound customer calls from patients and health professionals
• Follows up with patients on outstanding balances and process payments, if applicable
• Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication, and follow-through to closure
• Manages multiple channels of communication (Phone, Teams, E-mail) within a timely manner
• Provides accurate documentation of calls
• Provide exemplary customer service to patients, co-workers, healthcare providers, and business partners
• Respond professionally, promptly, and courteously to inbound calls and e-mails that require coordination with patients and healthcare professionals
• Foster relations, cooperation, communication and collaboration with patients, internal departments, and business partners
• Achieve and exceed the performance metrics and goals set for the department, while adhering to quality assurance standards

Medical Billing Specialist

Patient Support Specialist – RCM