Job Description

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.

CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. 

Summary

The Patient Pay Specialist is responsible for managing patient accounts with self-pay balances, billing, collection, account resolution, and communication with patients regarding their financial responsibilities. This role ensures timely and accurate billing and provides excellent customer service to patients regarding billing inquiries.

Base Range: $20 - $22/hr (DOE)

Location: This position will ideally be based in Plano, TX but is not a requirement

Schedule: (Remote) Monday - Friday, 8:00am - 4:30pm CST

Essential Duties and Responsibilities

include the following. Other duties may be assigned, as necessary.

• Monitor and manage patient accounts with outstanding self-pay balances.
• Explain bills, charges, and payment options to patients in a clear, professional and timely manner. 
• Ensure accurate billed charges do not exceed negotiated or contractual pricing where indicated.
• Refer patients for financial assistance when applicable.
• Ensure patient statements are uploaded into Waystar Patient Notebook according to company policy.
• Assist with setting up patient payment plans in Patient Notebook or collecting payments in accordance with insurance responsibility and patient quotes given at start of care.
• Maintain detailed documentation of all communications and payment activities in EHR system.
• Clearly communicate any billing-related issues to all appropriate parties including Intake, Collections, and Manager.
• Review self-pay undistributed cash and credit balances and provide refunds to patients as necessary or submit cash distribution request for accuracy.
• Respond to patient inquiries related to their balances, statements and insurance adjustments/payments.
• Maintain current knowledge of departmental and organizational policies.
• Work closely with other departments (e.g. billing, cash posting, intake, PCCs, patient support, collections, etc.) to resolve account issues.

• Consistently represents the company in a professional manner.
• Maintains effective working relationships and cooperates with all personnel in the Company.
• Ensure compliance with all HIPAA, federal, state and organizational regulations regarding confidentiality and billing practices.
• Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
• Performs other duties and responsibilities as assigned

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Provide the highest level of professionalism, responsiveness, and communication.
• Must possess the ability to multi-task and frequently change direction.
• Proficient in the use of computers and other devices.

Education and/or Experience

• High school diploma or GED
• Ability to work independently and within a multidisciplinary team. 
• Basic math, bookkeeping and accounting skills
• 1-3 years of experience in medical billing.
• Understanding of industry-specific policies, such as HIPAA regulations for health care

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee is regularly required to talk or listen. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.

By supplying your phone number, you agree to receive communication via phone or text.

By submitting your application, you are confirming that you are legally authorized to work in the United States.

JR# JR250121