Healix Infusion Therapy, LLC is currently seeking a qualified remote full-time Reimbursement Specialist to join our corporate business office and Business Office Team. Currently, the position is a remote work arrangement and qualified candidates must have access to home internet and a dedicated work space free from distractions. Team members must have excellent communication skills and be able to professionally interact with patients, clients, and colleagues.

Schedule: Monday through Friday; 8:30am to 5:30pm CST

*Work hours are subject to change based on business needs and with supervisor approval.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Include the following. Other duties may be assigned.

• Review aging reports with management to prioritize aged and high dollar claim resolution.
• Analyze, identify, and communicate trends from aging report that indicate non-payment or slow reimbursement associated with specific payors, therapies, patient accounts and/or clients.
• Responsible for the follow-up of designated accounts.
• Review claim EOBs and correspondence to resolve unpaid claims.
• Follow up and resolve unpaid/short paid insurance balances with Medicare, Medicaid, and Commercial insurance companies via payor portals, phone, fax, and/or mail.
• Identify and communicate payment and denial trends related to specific payors, providers, patients, and/or therapies to expedite timely resolution and improve cash velocity.
• Identify, communicate, and resolve billing or payment errors, making corrections when applicable, for proper claim adjudication and reimbursement.
• Prepare and submit appeals to overturn payor denials and partial payments.
• Receive, investigate, and respond timely to inquiries from payors, including, but not limited to audit and medical records requests.
• Proactively seeks resolution to billing issues that may arise and communicate findings to management and billing team.
• Create Ad hoc reports as needed, distributing them to requesting party.
• Special Projects as assigned.
• Other duties as assigned.

CORE DUTIES AND RESPONSIBILITIES:

Include the following basic performance factors all Healix, Inc. employees are expected to meet.

• Interacts professionally with clients and fellow employees.
• Cooperates with team members to accomplish departmental goals.
• Accepts and incorporates changes or innovative ideas into daily work.
• Provides service in a responsive, timely and accurate manner to both clients and fellow employees.
• Understands and adheres to policies and procedures.
• Arrives to work as scheduled and notifies supervisors in a timely manner of any absences.
• Recognizes priorities and acts; makes productive use of time.
• Strives to resolve problems and conflicts on his/her own initiative.
• Attempts to create new ideas or new procedures working as part of a group or individually.
• As a part of your job, you will receive protected health information. It is your duty to comply with HIPAA in using and disclosing that protected health information.
• Ability to remain focused, productive, and available during company business hours while working remotely.
• Maintain and adhere to productivity standards by providing updates of daily tasks completed to management.

About Us

Healix is the nations leader in providing physician office-based infusion services. Focused on patient and physician peace of mind for 30 years, we offer unparalleled capabilities for optimal patient care, comfort, compliance, and clinical outcomes in an outpatient setting.

At Healix, we manage Office Infusion Centers on behalf of physicians, hospitals, and medical institutions, encouraging in-office treatment for optimal patient care. Our company is headquartered in Sugar Land, Texas, a suburb of Houston, where we have helped establish and manage hundreds of infusion centers nationwide. We use our clinical and business expertise to provide integrated solutions to improve all aspects of the infusion program, all while delivering peace of mind to our clients and their patients.

Studies show that the physician office infusion center setting provides significant site of care benefits for patients, communities, and payors, including superior clinical outcomes and lower cost of care. Overall patient satisfaction at Healix-managed infusion centers soars, with 98% of patients rating their care as excellent. Our physician clients rely on Healix to handle all facets of infusion center operations, including drug purchasing, revenue cycle management, managed care programs, and clinical staffing. As Healix continues to leverage unique industry expertise in management and service markets, we are dedicated to maintaining focus on patient and physician peace of mind.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Minimum of two years of related experience in a medical or business office environment.
• Previous experience in a medical office setting and Accounts Receivable follow-up preferred; Experience in Infusion billing and collections strongly preferred.
• Understanding of medical insurance and State/Federal Healthcare laws/guidelines.
• Reliable team player with commitment to internal and external customer service.
• Excellent analytical, organizational and time management skills required.
• Ability to learn quickly, work with minimal supervision and manage shifting priorities.
• Strong verbal and written communication skills
• Proficiency in Microsoft Excel

Education and Experience Required

• Four-year college degree preferred. Two to three years in electronic claims submission and medical collections preferred.

License and Certifications

• This job does not require any certificates, licenses, or registrations.

EQUAL EMPLOYMENT OPPORTUNITY

We are an Equal Employment Opportunity employer committed to providing equal opportunity in all of our employment practices, including selection, hiring, assignment, re-assignment, promotion, transfer, compensation, training, leave of absence, discipline, and termination. The Company prohibits discrimination, harassment, and retaliation in employment based on race; color; religion; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability or handicap; citizenship status; service member status; or any other category protected by federal, state, or local law. Healix has a non-discrimination policy and complies with applicable federal, state and local laws governing nondiscrimination in employment in every location in which the Company has facilities.