Talent.com
Infusion Reimbursement Contract Specialist
Infusion Reimbursement Contract SpecialistSoleo Health • Frisco, TX, US
Infusion Reimbursement Contract Specialist

Infusion Reimbursement Contract Specialist

Soleo Health • Frisco, TX, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Reimbursement Contract Specialist

Soleo Health is seeking a Reimbursement Contract Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!

Soleo Health Perks :

  • Competitive Wages
  • Paid Parental Leave Options
  • 401(k) with a Match
  • Great Company Culture
  • Referral Bonus
  • Annual Merit Based Increases
  • No Weekends or Holidays!
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) options
  • Paid Time Off
  • Education Assistant Program

The Position :

The Reimbursement Contract Specialist supports Reimbursement Contract Management with research throughout the payor contract review process and in addition, provides guidance / trainings to stakeholders on existing and new payor contract information. This requires management of internal resources pertaining to contract reimbursement information within the company intranet site and a high level of written and oral communication with a broad range of stakeholders.

  • Assists Reimbursement Contracts Manager in review of payor contracts and amendments.
  • Provides consultation, education and training on payor contract requirements to Intake and Reimbursement teams.
  • Provides timely and accurate information regarding payor reimbursement methodologies, rates and policies to stakeholders.
  • Manages payor contract, reimbursement related resources and other payor-related documents on company intranet site.
  • Prepares reports and assists with special projects.
  • In collaboration with leadership, investigates payment variances for payor contract non-compliance.
  • Schedule :

  • Typical business hours, 8 : 30-5p
  • Remote
  • Requirements :

  • At least 4 years of experience with Home Infusion therapies and associated HCPC codes
  • Must have experience with and thorough understanding of Payor Contracts (e.g. for audits, rate review / negotiation or reimbursement language review)
  • Reimbursement experience (RCM related) : Auditing / root cause analysis, financial analysis, Home Infusion billing (medical) or similar
  • Advanced knowledge of medical insurance plans : Managed Care Organizations, Commercial, Medicare Advantage, Self-Funded, TPAs and providers at financial risk (hospital / health systems, medical group / IPA)
  • Experience in creation of training material or procedures (SOPs) with ability to disseminate information regarding newly executed contracts to large groups
  • Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing / fee schedules
  • High level of organization required, with proficiency in the Microsoft suite of products, with an emphasis on Excel and PowerPoint
  • About Us :

    Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!

    Soleo's Core Values :

  • Improve patients' lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!
  • Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.

    Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

    Keywords : contract specialist, contract administrator, contracts manager, reimbursement specialist, auditing, analyst, contract, payor, negotiater, training, billing specialist, intake manager, clearance manager, lead, trainer, now hiring, hiring immediately

    [job_alerts.create_a_job]

    Reimbursement Specialist • Frisco, TX, US

    [internal_linking.related_jobs]
    Inpatient DRG Sr. Reviewer

    Inpatient DRG Sr. Reviewer

    Zelis Healthcare, LLC • Plano, TX, United States
    [job_card.full_time]
    Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Licensed Health Insurance Agent

    Licensed Health Insurance Agent

    Unified Growth Partners • Dallas, TX, US
    [job_card.full_time]
    Licensed Health Insurance Agents – We’re Looking for You!.Unified Growth Partners, an independently owned agency, is excited to offer a rewarding opportunity for ambitious.This contract role equips...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Emergency Department RN - $1,591 per week

    Travel Emergency Department RN - $1,591 per week

    GHR Healthcare - PH Division • McKinney, TX, United States
    [job_card.full_time]
    GHR Healthcare - PH Division is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas. Job Description & Requirements.Planet Healthcare Job ID #73335008.Pay...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Nurse RN - ED - Emergency Department - $1,511 per week

    Travel Nurse RN - ED - Emergency Department - $1,511 per week

    Supplemental Health Care • Mckinney, TX, United States
    [job_card.full_time] +1
    Supplemental Health Care is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Mckinney, Texas. Job Description & Requirements.Looking for your next ER contract? Supplem...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Emergency Department RN - $1,638 per week

    Travel Emergency Department RN - $1,638 per week

    GHR Healthcare • McKinney, TX, United States
    [job_card.full_time]
    GHR Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas.Job Description & Requirements. GHR Healthcare Job ID #73335008.Pay package is based...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RN - ED - Emergency Department in Mckinney, Texas - $1,597 / week

    RN - ED - Emergency Department in Mckinney, Texas - $1,597 / week

    Vetted Health • McKinney, TX, US
    [job_card.full_time]
    Vetted is seeking a RN - ED - Emergency Department for a travel job in Mckinney, Texas.The job was posted about 16 hours ago. The assignment starts on ASAP and is 13 weeks long with 13 hour shifts 3...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Emergency Department RN - $1,638 per week

    Travel Emergency Department RN - $1,638 per week

    GHR Healthcare - Travel Division • McKinney, TX, United States
    [job_card.full_time]
    GHR Healthcare - Travel Division is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas. Job Description & Requirements.GHR Healthcare - Travel Division ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - ED - Emergency Department - $1,652 per week

    Travel Nurse RN - ED - Emergency Department - $1,652 per week

    Healthcare Support • McKinney, TX, United States
    [job_card.permanent]
    Healthcare Support is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas.Job Description & Requirements. Healthcare Support Job ID #475485.Pay package is...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - ED - Emergency Department - $1,597 per week

    Travel Nurse RN - ED - Emergency Department - $1,597 per week

    TRS Healthcare • McKinney, TX, United States
    [job_card.full_time]
    TRS Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas.Job Description & Requirements. TRS Healthcare Job ID #1413554.Pay package is based ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Specialist - Rideshare Commercial Claims PIP and Medical Payment Adjuster

    Claims Specialist - Rideshare Commercial Claims PIP and Medical Payment Adjuster

    Liberty Mutual Insurance • Plano, Texas, United States
    [job_card.full_time]
    Schedule : Full-Time Salary Range : USD $56000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    RN, Registered Nurse - Outpatient Infusion Services - Full Time

    RN, Registered Nurse - Outpatient Infusion Services - Full Time

    Christus Health • Rolling Meadows, Texas, United States
    [job_card.full_time]
    The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with th...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel Emergency Department RN - $1,521 per week

    Travel Emergency Department RN - $1,521 per week

    Uniti Med • McKinney, TX, United States
    [job_card.full_time]
    Uniti Med is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas.Job Description & Requirements. Cigna medical, MetLife dental and vision insurance .Licen...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Assistant-Infusion Therapy

    Medical Assistant-Infusion Therapy

    Parkland Health and Hospital System • Dallas, TX, US
    [job_card.full_time]
    Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Licensed Psychiatric NP

    Licensed Psychiatric NP

    Headway • McKinney, TX, US
    [job_card.full_time]
    Licensed Psychiatric Nurse Practitioner.Wage : Between $89-$203 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you wan...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Servicing Specialist

    Senior Servicing Specialist

    Spectraforce Technologies • Dallas, TX, United States
    [job_card.full_time]
    The client is seeking to contract a Senior Servicing Specialist on the Collateral Management team who will assist with the administration and processing of lien releases, UCC filings, and records / d...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Local Contract Travel Emergency Department RN - $37 per hour

    Local Contract Travel Emergency Department RN - $37 per hour

    Stability Healthcare • McKinney, TX, United States
    [job_card.full_time]
    Stability Healthcare is seeking a local contract nurse RN ED - Emergency Department for a local contract nursing job in McKinney, Texas. Job Description & Requirements.Stability Healthcare is lookin...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - ED - Emergency Department - $1,535 per week

    Travel Nurse RN - ED - Emergency Department - $1,535 per week

    AHS Staffing • Mckinney, TX, United States
    [job_card.full_time]
    AHS Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Mckinney, Texas.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours pe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - ED - Emergency Department - $1,632 per week

    Travel Nurse RN - ED - Emergency Department - $1,632 per week

    Trustaff • McKinney, TX, United States
    [job_card.full_time]
    Trustaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in McKinney, Texas.Job Description & Requirements. As an Emergency Room RN, you'll provide care for patients ...[show_more]
    [last_updated.last_updated_30] • [promoted]