RCM Specialist - Collections

RCM Specialist - Collections
Job Skill Requirements
Ability to read and interpret medical records for billing purposes.
Competent in mathematic equations.
Ability to compute unit conversions for drugs.
Understanding of CPT, HCPCS, ICD-10, and NDC codes.
Diligent attention to detail.
Excellent verbal and written communication.
Understanding of HIPAA compliance.
Self-directed, has the ability to work with little supervision.
Proficiency in Excel, Outlook, and all other office applications.
Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.).
Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures.
Deep understanding of home infusion process, therapies, and related services.
Ability to understand payer explanation of benefits.

Educational Requirements
High school diploma or GED

Experience
One to three years of experience in Home Infusion or Specialty Pharmacy collections.

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