Revenue Cycle Management Specialist
Company: Option Care Health
Location: Hamburg
Posted on: July 1, 2025
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Job Description:
Option Care Health, Inc. is the largest independent home and
alternate site infusion services provider in the United States.
With over 8,000 team members including 5,000 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. As a two-year recipient of the Gallup Exceptional
Workplace Award, we recognize that part of being extraordinary is
building a thriving workforce that is as unique as the patients and
communities we serve. Join a company that is taking action to
develop a culture that is inclusive, respectful, engaging and
rewarding for all team members. Our organization requires
extraordinary people to provide extraordinary care, so we are
investing in a culture that attracts, hires and retains the best
and brightest talent in healthcare. Job Description Summary:
Responsible for the timely, accurate submission of invoices to
responsible payer, of any type, for all services and products
provided. Evaluates payments received and application to the
patient account. Follows-up with responsible parties to ensure the
receipt of timely, accurate payments. Assists with Billing and
Collection Training and completes "second level" appeals to payers.
Job Responsibilities: • Submits timely, accurate invoices to payer
for products and services provided. Understands the terms and fee
schedule for all contracts for which invoices are submitted.
Correctly determines quantities and prices for drugs billed.
Verifies that the services and products are correctly authorized
and that required documentation is on file. Ensures that invoices
are submitted for services and products that are properly ordered
and confirmed as provided. • Evaluates payments received for
correctness and applies payments accurately to the system. Verifies
that payments received are correct according to the fee schedule.
Applies the payment correctly to the patient account. Ensures that
secondary bills and patient invoices are mailed within 48 hours of
receipt of payment. Notifies the Reimbursement Manager if there are
overpayments and/or duplicate payments for the same service.
Transfers payments belonging to other offices within 48 hours of
receipt. • Follows up on invoices submitted to ensure prompt and
timely payment. Calls to verify that claims submitted were received
and are in processing. Sends letters to the patient or responsible
party when their insurance carrier fails to make payment reasonable
time frame. Generates and mails statements and collections letters.
Follows-up on all denials within 48 hours of receipt. • Ensures
compliance with policies and guidelines outlined in the contract
terms and fee schedule. Follows HIPPA guidelines when accessing and
sharing patient information to maintain patient and business
confidentiality. Basic Education and/or Experience Requirements: •
High School Diploma or equivalent. • 0 – 6 months previous Infusion
Reimbursement or Intake/Admissions experience Basic Qualifications
& Interests: • Basic level skill in Microsoft Excel (for example:
opening a workbook, inserting a row, selecting font style and size,
formatting cells as currency, using copy, paste and save functions,
aligning text, selecting cells, renaming a worksheet, inserting a
column, selecting a chart style, inserting a worksheet, setting
margins, selecting page orientation, using spell check and/or
printing worksheets). • Basic level skill in Microsoft Word (for
example: opening a document, cutting, pasting and aligning text,
selecting font type and size, changing margins and column width,
sorting, inserting bullets, pictures and dates, using find and
replace, undo, spell check, track changes, review pane and/or print
functions).
Keywords: Option Care Health, Perth Amboy , Revenue Cycle Management Specialist, Administration, Clerical , Hamburg, New Jersey
