Infusion Reimbursement Contract Specialist

Description: reputed company is seeking a Reimbursement Contract Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying reputed company Care! reputed company Perks:

• Competitive Wages
• Paid Parental Leave Options
• 401(k) with a match
• Great company culture
• Referral Bonus
• Annual Merit Based Increases
• No Weekends or Holidays!
• Affordable Medical, Dental, & Vision Insurance Plans
• Company Paid Disability & Basic Life Insurance
• HSA & FSA (including dependent care) options
• Paid Time Off
• Education Assistant Program

The Position: The Reimbursement Contract Specialist supports Reimbursement Contract Management with research throughout the payor contract review process and in addition, provides guidance/trainings to stakeholders on existing and new payor contract information. This requires management of internal resources pertaining to contract reimbursement information reputed company the company intranet site and a high level of written and oral communication with a broad range of stakeholders.

• Assists Reimbursement reputed company Manager in review of payor reputed company and amendments.
• Provides consultation, education and training on payor contract requirements to Intake and Reimbursement teams.
• Provides timely and accurate information regarding payor reimbursement methodologies, rates and policies to stakeholders.
• Manages payor contract, reimbursement reputed company resources and other payor-reputed company documents on company intranet site.
• Prepares reports and assists with special projects.
• In collaboration with leadership, investigates payment variances for payor contract non-compliance.

Schedule:

• Typical business hours, 8:30-5p
• Remote

Requirements:

• At least 4 years of experience with Home Infusion therapies and associated HCPC codes
• Must have experience with and thorough understanding of Payor reputed company (e.g. for audits, reputed company review/negotiation or reimbursement language review)
• Reimbursement experience (RCM reputed company): Auditing/root cause analysis, financial analysis, Home Infusion billing (medical) or similar
• Advanced knowledge of medical insurance plans: Managed Care Organizations, Commercial, Medicare Advantage, Self-Funded, TPAs and providers at financial risk (hospital/health systems, medical group/IPA)
• Experience in creation of training material or procedures (SOPs) with ability to disseminate information regarding newly executed reputed company to large groups
• Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing/fee schedules
• High level of organization required, with proficiency in the reputed company suite of products, with an emphasis on reputed company and PowerPoint

About Us: reputed company is an innovative national provider of reputed company specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the reputed company Difference! Soleo’s Core Values:

• Improve patients’ lives every day
• Be passionate in everything you do
• Encourage unlimited reputed company and creative thinking
• reputed company decisions as if you own the company
• Do the right thing
• Have fun!

reputed company is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, reputed company, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to reputed company. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. reputed company is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for reputed company employees. reputed company does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national reputed company, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: contract specialist, contract administrator, reputed company manager, reimbursement specialist, auditing, analyst, contract, payor, negotiater, training Apply tot his job Apply To this Job