Billing Representative - IV (Coram)

Billing Representative - IV (Coram)

Coram, an Apria Healthcare Company, is a leading provider of specialty infusion and pharmacy distribution services with more than 80 branch locations and over 50 infusion suites throughout the country. Our more than 2,000 employees, including nearly 1,000 infusion nurses and pharmacists, are known in the industry for providing a high level of personalized care to thousands of home and infusion suite IV patients every day. Please visit our website at .

• Maintain and release all ship-verified claims from bill review within three days.
• Develop a tickler file and hold all claims pending authorization and or documentation.
• Analyze and verify all dates of service and billed amounts.
• Send out all claims with corresponding documentation within seven days from releasing.
• Gains a detailed knowledge of all job functions, and all reimbursement policies and procedures.
• Verifies all client data for completeness and accuracy prior to billing cycle.
• Pulls appropriate documentation from client files for all generated claim forms.
• Prepares all billing packets for Quality Review within 24 hours.
• Maintains the billing hold report (MIA) for all claims that are un-billable.
• Completes account contractual adjustment at the time of billing on all specified carriers through the delivery tickets.
• Performs all other adjustments in a timely manner to reconcile accounts.
• Completes the unbilled reconciliation weekly.
• Assumes additional billing responsibilities as workloads dictate to meet departmental goals.
• Performs other related duties as directed by supervisor.

Qualifications:

• High school diploma or equivalent, plus a minimum two years experience in all areas of reimbursement.
• Familiarity with medical terminology.
• Excellent organizational skills.
• Excellent oral and written communication skills.
• Takes initiative and demonstrates leadership abilities.
• Excellent problem solving skills.

PHYSICAL DEMANDS

• This position requires constant sitting with occasional walking, standing, kneeling or stooping.
• This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms.
• This position requires constant talking and hearing.
• Specific vision abilities required by this job include close vision and the ability to adjust focus.
• This position must occasionally lift and/or move up to 10 pounds.

Apria Healthcare (or Coram Healthcare ) is an equal opportunity employer. All employment decisions are made without regard to race, color, age, gender, gender identity or expression, sexual orientation, marital status, pregnancy, religion, citizenship, national origin/ancestry, physical/mental disabilities, military status or any other basis prohibited by law.
Because Apria believes in providing a safe work environment, we conduct drug and background checks in our recruiting/hiring processes. AA/EOE, M/F/D/V