• Track all claims that are submitted for payment and monitor the days outstanding for payment reception.
• Notify third party insurance carriers when claims have not been paid within the time frame established by IVSolutions.
• Process billing calls and questions and answers correspondence to patient accounts.
• Help arrange payment options for individual patients with an outstanding balance if payment cannot be made all at once.
• Follow up on unpaid claims until the payment is received or management makes a decision for the action needed for all claims resolutions.
• Process rejections by making accounts patient responsibility and generating a letter of rejection to patient or by correcting any billing error and resubmitting claim to the third party insurance carrier.
• Contact individual patients according to guidelines established by IVSolutions that owe balances for therapy if a payment is not received 30 days after a bill is submitted.
• Notifies all staff members when a patient has an outstanding and past due balance.
• Secure needed medical documentation requested by third party insurances.
• Negotiates pricing with insurance companies with supervisor’s guidance.
• Maintains a good working knowledge for all payor and provider contracts.
• Assist the Reimbursement Department in all claims resolutions.
• Demonstrate knowledge of and supports policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.

Knowledge, Skills, and Abilities:

• 
  Track all claims that are submitted for payment and monitor the days outstanding for payment reception.
• Notify third party insurance carriers when claims have not been paid within the time frame established by IVSolutions.
• Process billing calls and questions and answers correspondence to patient accounts.
• Help arrange payment options for individual patients with an outstanding balance if payment cannot be made all at once.
• Follow up on unpaid claims until the payment is received or management makes a decision for the action needed for all claims resolutions.
• Process rejections by making accounts patient responsibility and generating a letter of rejection to patient or by correcting any billing error and resubmitting claim to the third party insurance carrier.
• Contact individual patients according to guidelines established by IVSolutions that owe balances for therapy if a payment is not received 30 days after a bill is submitted.
• Notifies all staff members when a patient has an outstanding and past due balance.
• Secure needed medical documentation requested by third party insurances.
• Negotiates pricing with insurance companies with supervisor’s guidance.
• Maintains a good working knowledge for all payor and provider contracts.
• Assist the Reimbursement Department in all claims resolutions.
• Demonstrate knowledge of and supports policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA
• Employer-matched 401k Plan
• Industry leading PTO plan
• And MORE!

Please apply online at: https://careers-maxor.icims.com/