BioMatrix Infusion Pharmacy
Billing Specialist – BioMatrix Infusion Pharmacy (Overland Park, KS)
Join to apply for the billing specialist role at BioMatrix Infusion Pharmacy.
Pay range: $25.00/hr - $27.00/hr
Schedule: Monday to Friday, 8:00 am – 5:00 pm CST. Work on‑site in Overland Park, KS. Possible hybrid after 6 months.
Company overview: BioMatrix is a nationwide, independently‑owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often‑challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high‑performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.
Job Description
The billing specialist is responsible for verifying that all appropriate prescription reimbursement data has been obtained, entered into the system and is accurate weekly and prior to month end.
Processes electronic pharmacy insurance claims to Medicare D, Medicaid, and Commercial Insurance.
Assures the timely and accurate submission of invoices to the responsible payer for services and products provided, and evaluates payments received for final resolution and application to the patient account.
Qualification Requirements
GED or high school diploma required.
Minimum of two (2) years of working experience in medical billing & collection related activities required.
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.).
Qualifications Preferred
Minimum of five (5) years of working experience in medical billing & collection related activities preferred.
Previous home infusion therapy billing experience preferred.
Experience with CareTend or CPR+ preferred.
Essential Functions And Responsibilities
Prepare and submit insurance claims for home infusion services, including nursing, supplies, and medications.
Verify documentation of supplied products align with prepared claim.
Verify accuracy of billed codes and accuracy of billed and expected amounts.
Have a thorough understanding of payer contracts.
Understanding the different types of home infusion medications and therapies.
Knowledge of insurance verification and reimbursement processes.
Address customer inquiries and resolve billing discrepancies, providing excellent customer service to both internal and external stakeholders.
Stay updated on relevant billing regulations, coding guidelines, and payer requirements, ensuring compliance with all applicable standards.
Familiarity with clearinghouses and the billing functionality.
Assist with various data entry, administrative, and clerical tasks.
Knowledge, Skills And Abilities Requirements
Able to stay abreast of payer alerts and reimbursement changes.
Able to work in a fast‑paced environment.
Able to navigate and interpret insurance contracts.
Ability to actively communicate, inspire and motivate all levels of staff.
Ability to think and act strategically and proactively.
Ability to maintain accurate records and prepare reports and correspondence related to the work.
Ability to organize and coordinate the work of others.
Ability to set priorities and assign work to other professionals.
Excellent analytical skill.
Communication Skills
Oral Communication – Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; participates in meetings.
Written Communication – Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; able to read and interpret written information.
Physical Demands And Work Environment
This position requires constant sitting with occasional walking, standing, kneeling or stooping.
This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms.
This position requires constant talking and hearing.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
This position must occasionally lift and/or move up to 20 pounds.
Required to move/lift physical hardware.
Accommodations Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at
Careers@BioMatrixsprx.com
or 954.385.7322 x 1425.
Equal Opportunity Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Additional Information
Seniority Level: Mid‑Senior level
Employment type: Full‑time
Job function: Accounting/Auditing and Finance
Industries: Hospitals and Health Care
#J-18808-Ljbffr
Pay range: $25.00/hr - $27.00/hr
Schedule: Monday to Friday, 8:00 am – 5:00 pm CST. Work on‑site in Overland Park, KS. Possible hybrid after 6 months.
Company overview: BioMatrix is a nationwide, independently‑owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often‑challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high‑performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners.
Job Description
The billing specialist is responsible for verifying that all appropriate prescription reimbursement data has been obtained, entered into the system and is accurate weekly and prior to month end.
Processes electronic pharmacy insurance claims to Medicare D, Medicaid, and Commercial Insurance.
Assures the timely and accurate submission of invoices to the responsible payer for services and products provided, and evaluates payments received for final resolution and application to the patient account.
Qualification Requirements
GED or high school diploma required.
Minimum of two (2) years of working experience in medical billing & collection related activities required.
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction.
Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.).
Qualifications Preferred
Minimum of five (5) years of working experience in medical billing & collection related activities preferred.
Previous home infusion therapy billing experience preferred.
Experience with CareTend or CPR+ preferred.
Essential Functions And Responsibilities
Prepare and submit insurance claims for home infusion services, including nursing, supplies, and medications.
Verify documentation of supplied products align with prepared claim.
Verify accuracy of billed codes and accuracy of billed and expected amounts.
Have a thorough understanding of payer contracts.
Understanding the different types of home infusion medications and therapies.
Knowledge of insurance verification and reimbursement processes.
Address customer inquiries and resolve billing discrepancies, providing excellent customer service to both internal and external stakeholders.
Stay updated on relevant billing regulations, coding guidelines, and payer requirements, ensuring compliance with all applicable standards.
Familiarity with clearinghouses and the billing functionality.
Assist with various data entry, administrative, and clerical tasks.
Knowledge, Skills And Abilities Requirements
Able to stay abreast of payer alerts and reimbursement changes.
Able to work in a fast‑paced environment.
Able to navigate and interpret insurance contracts.
Ability to actively communicate, inspire and motivate all levels of staff.
Ability to think and act strategically and proactively.
Ability to maintain accurate records and prepare reports and correspondence related to the work.
Ability to organize and coordinate the work of others.
Ability to set priorities and assign work to other professionals.
Excellent analytical skill.
Communication Skills
Oral Communication – Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; participates in meetings.
Written Communication – Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; able to read and interpret written information.
Physical Demands And Work Environment
This position requires constant sitting with occasional walking, standing, kneeling or stooping.
This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms.
This position requires constant talking and hearing.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
This position must occasionally lift and/or move up to 20 pounds.
Required to move/lift physical hardware.
Accommodations Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at
Careers@BioMatrixsprx.com
or 954.385.7322 x 1425.
Equal Opportunity Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Additional Information
Seniority Level: Mid‑Senior level
Employment type: Full‑time
Job function: Accounting/Auditing and Finance
Industries: Hospitals and Health Care
#J-18808-Ljbffr