Specialist, Network Accounts Payable Details

Specialist, Network Accounts Payable

Option Care Health - Hudson, OH

Employment Type : Full-Time

Extraordinary Care. Extraordinary Careers.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.

At Option Care Health we recognize that part of being extraordinary is supporting and building a workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.

COVID-19 Vaccine Requirements:

As a leading healthcare provider, we have an undeniable responsibility to protect the health and safety of our patients, customers and team members.

Option Care Health requires that all employees be fully vaccinated against the COVID-19 virus. If you are offered and accept a position, your employment will be contingent upon proof of vaccination, or approved medical or religious accommodation. Proof of vaccination will be required during the onboarding process; application for medical or religious accommodations will be required to be submitted within 5 business days of start date. If medical and/or religious accommodation requests are denied, you must take steps to be fully vaccinated, or your employment will be terminated.

Job Description Summary:

Processes Network Provider claims including, but not limited to, payments, denials and rejections. Works closely with other departments as needed to accomplish this goal.

Job Description:

Job Responsibilities:

• Documents and saves patient-specific Agreements with out-of-network agencies.
• Produces, prints and works each of the following spreadsheets: contract agencies, partial payment, adjustment and denial.
• Processes contract agencies claims.
• Processes denials
• Produces Providers’ Explanations of Payment
• Process Provider payments for payments made by patients via outside collections
• When appropriate, submits Requests for Adjustments from HomecareNet (HCN).
• Adjusts duplicate claims from HCN and MAS-90
• Mail Provider checks, Explanations of Payment and denials.
• Transfers all claims improperly set up in HCN (self-pay to agency responsible or from agency responsible to self-pay)
• Manages weekly check runs.
• Processes and saves weekly EOPs.
• Supports the Claims Resolution Specialist(s) by assisting with incoming calls, assisting with the appeals process and assisting with claim status inquiries as needed.
• Completes month end closing activities per assigned deadlines.
• Bills as needed
• Performs other duties assigned by management.

Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.

No

Basic Education and/or Experience Requirements:

Minimum of high school diploma or equivalent

Preferred experience includes: basic knowledge in the home health care field, previous reimbursement or claims processing experience

Basic Qualifications & Interests:

Strong organizational and time management skills

Proven success paying careful attention to detail and completing work accurately

Effective communications skills for interacting with clients, payers, and co-workers

Proficiency in typing, data entry, telephone etiquette, and computer skills including familiarity with Microsoft Office

Initiative to plan for and complete daily activities with minimal direction from supervisor

Travel Requirements:

None

Preferred Qualifications & Interests:

Preferred experience includes: basic knowledge in the home health care field, previous reimbursement or claims processing experience

This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

Posted: Dec 20, 2021