Revenue Cycle Specialist / AR Specialist / Medical Biller - Remote

Option Care Health, Inc.

Job Overview

Location

Jackson, MS

Job Type

Full-time

Full Job Description

📋 Description

• Submit timely and accurate invoices to payers for all infusion services and products provided, ensuring correct application of contract terms and fee schedules.
• Accurately determine quantities and pricing for drugs billed, verifying that all services and products are properly ordered, authorized, and confirmed as delivered.
• Evaluate incoming payments for correctness against fee schedules and apply payments accurately to patient accounts in the system.
• Ensure secondary bills and patient invoices are mailed within 48 hours of payment receipt, and transfer payments belonging to other offices within 48 hours of receipt.
• Notify the Reimbursement Manager of any overpayments or duplicate payments for the same service.
• Follow up on all submitted invoices to confirm receipt and processing by payers, initiating calls and written correspondence as needed.
• Generate and mail patient statements and collection letters when insurance carriers fail to pay within a reasonable timeframe.
• Respond to all claim denials within 48 hours of receipt, initiating appropriate appeals and documentation.
• Ensure compliance with all contract terms, fee schedules, and HIPAA guidelines when accessing or sharing patient information to maintain confidentiality.
• Perform second-level appeals to payers on denied claims, working closely with reimbursement teams to resolve payment issues.
• Maintain accurate records of all billing activities, payment applications, and follow-up actions in accordance with company policies.
• Assist with Billing and Collection Training for new team members as needed.
• Use Microsoft Excel to open workbooks, insert rows/columns, format cells as currency, copy/paste data, rename worksheets, set margins, and print worksheets.
• Use Microsoft Word to open documents, cut/paste/align text, change font styles and sizes, insert bullets and dates, use find/replace, track changes, review pane, and print functions.
• Adhere strictly to state and federal regulations governing medical billing and patient data privacy.
• Operate within the Central Time Zone, as required for role eligibility and team coordination.

🎯 Requirements

• High School Diploma or equivalent
• 0–6 months of previous Infusion Reimbursement or Intake/Admissions experience
• Basic proficiency in Microsoft Excel (e.g., formatting cells as currency, inserting rows/columns, using copy/paste, printing worksheets)
• Basic proficiency in Microsoft Word (e.g., cutting/pasting text, using spell check, track changes, inserting bullets and dates, printing documents)
• Must currently reside in the Central Time Zone
• Understanding of HIPAA guidelines and compliance requirements for patient information

🏖️ Benefits

• Medical, Dental, & Vision Insurance
• Paid Time Off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Tuition Reimbursement

Skills & Technologies

Onsite

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Option Care Health, Inc.

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About Option Care Health, Inc.

Option Care Health, Inc. is a nationwide U.S. provider of home and alternate-site infusion therapy and nutrition support services. Registered nurses, pharmacists and dietitians deliver specialty infusion treatments for infectious, inflammatory, oncologic, cardiac, gastrointestinal, neurological and rare genetic conditions through more than 90 infusion suites, patient homes and partner hospitals. The company operates centralized pharmacies, high-tech infusion pumps and 24/7 clinical support, aiming to reduce hospital stays and lower overall cost of care. Formed through the 2019 merger of Option Care Enterprises and BioScrip, it is headquartered in Bannockburn, Illinois and accredited by ACHC, URAC and The Joint Commission.

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