Reimbursement Specialist Overland Park, Kansas

Bio Matrix 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 Bio Matrix 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.

Up To $27.00 Per Hour Based Upon Experience

Final compensation offer to candidate may vary based upon work experience, education, and/or skill level. For additional information regarding compensation and benefits, e-mail us at

It is anticipated that an incumbent in this role will work onsite in Overland Park, KS and REMOTE location.

Work location is subject to change based on business needs.

The Reimbursement Specialist is responsible for the accurate and timely billing and reimbursement of claims.

• High School Diploma or GED required
• Minimum of two (2) years of medical insurance experience required
• Basic computer and internet skills (e.g. Microsoft Office)
• Strong customer service skills, focus and dedication.
• Commitment to excellent customer service and professionalism to resolve complex payer coverage issues

• Minimum of two (2) years of home infusion experience preferred
• Prior experience with CPR+ and/or Care Tend preferred
• Certified Pharmacy Technician/License preferred, but not required

• Submits accurate claims to primary and secondary insurers and resubmits accurate corrected and rejected claims in a timely manner.
• Acquires necessary authorizations and current eligibility information from insurance company for the dispense prior to release of delivery; communicates findings with pharmacy prior to delivery; documents notes in system.
• Maintains patient files with pertinent information required by insurance companies (CMN, rxs, medical records, etc.).
• Prior to submitting claims, confirms that orders have been delivered verifying date of delivery.
• Invoices patients for patient responsibility amounts (co-pay, deductible, out-of-pocket, etc.).
• Communicates with field staff as needed (new referrals, signed tickets).
• Responsible for billing audits both internally and externally.

• Tracks each claim on a weekly basis; maintains A-R Manager report in Excel and updates each outstanding claim with a status detail note, includes insurance company’s reference number; submits report to the Director of Revenue Cycle Management; updates the claim’s billing note in CPR+ with the status detail note.
• Predicts cash flow from claim’s progress through insurance system.
• Maintains documents showing proof of communique with insurance companies, providers, etc. (i.e. email printouts, fax confirmations, Fed Ex tracking).
• Tracks incoming checks for receipt; if issued to patient, communicates with patient or RCC to collect monies.
  
  Responds to insurance requests in a timely manner (medical records, rxs, CMNs, etc.)
• Makes bank deposit and maintains accurate monthly deposit report, as needed.

• Verifies new patient referral information with insurance company, reports findings to Director of Revenue Cycle Management via insurance verification form
• Completes insurance company contracts and/or necessary forms to maintain or become a provider.
• Reports unusual events or trends related to claims or insurance industry to Director of Revenue Cycle Management.
• Assists in insurance audits by providing all necessary billing paperwork in a timely manner.
• Pr…