Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always.
Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized, truly exceptional infusion care. With over 1,600 team members, including over 1,500 nurses, we are a company aligned to the values of the nurses at our center – to provide an exceptional infusion experience, everywhere. Naven Health delivers home infusion services for a broad range of specialized therapies, as well as clinical trial services and special programs for pharmaceutical manufacturers. Joining the Naven Health team means being a part of a dynamic and growing organization that is dedicated to our customers, our teammates, and the patients we serve.
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 appeals to payers.
Job Description:
Job Responsibilities (listed in order of importance and/or time spent)
- 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 visits billed. Verifies that the services and products are correctly authorized and that required documentation is on file.
- Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service.
- Follows up on invoices submitted to ensure prompt and timely payment. Verify that claims submitted were received and are in processing. Generates and emails/faxes statements and collections letters at the 60 days and forward. 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.
Supervisory Responsibilities
Does this position have supervisory responsibilities?
(i.e., hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
No X
Basic Education And/or Experience Requirements
- High School Diploma or equivalent.
- 1 year of Accounting, bookkeeping, banking or cash handling experience preferred
Basic Qualifications
- 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).
- Strong interpersonal and communication skills and the ability to work effectively with branch departments.
- Strong attention to detail
- Proficient analytical skills.
- 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.
- Competency of calculation/math skills
Physical Demand Requirements
Travel Requirements: (if required)
Preferred Qualifications & Interests (PQIs)
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
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $16.40-$25.21
Benefits:
- Medical, Dental, & Vision Insurance
- Paid Time off
- Bonding Time Off
- 401K Retirement Savings Plan with Company Match
- HSA Company Match
- Flexible Spending Accounts
- Tuition Reimbursement
- myFlexPay
- Family Support
- Mental Health Services
- Company Paid Life Insurance
- Award/Recognition Programs
Naven 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.
