Role Description At CarepathRx, we help health systems and hospitals deliver pharmacy care that supports better patient outcomes. As a Medical Collections Specialist, you will help resolve insurance claims, improve reimbursement, and support a smoother experience for patients, payers, and care teams. This is a great opportunity for someone who is detail-oriented, curious, and ready to grow in revenue cycle work. Home infusion billing or collections experience is strongly preferred because it supports success in this specialized care setting. Schedule: Monday-Friday, 8:00 a.m.-4:30 p.m. ET Responsibilities - Support strong reimbursement outcomes by collecting on insurance claims and moving unpaid accounts toward timely resolution. - Research denials, rejections, and payment issues to find root causes and recommend steps that help prevent repeat problems. - Submit payer appeals within required time frames and use clear documentation to support accurate claim review. - Review patient account details, claim status, and explanations of benefits to decide the best next action, such as correction, refiling, adjustment, or appeal. - Investigate claims and payer contracts to confirm payment accuracy and identify reimbursement gaps, with attention to home infusion billing requirements when applicable. - Communicate with patients, payers, outside agencies, and internal partners in a professional, helpful, and timely manner. - Document collection activity, account actions, and outcomes in patient notes, AR Aging Reports, and Over/Under Reports. - Track account trends and share insights that support process improvements, stronger collections, and better revenue cycle results. - Meet quality, productivity, and service standards while working independently and as part of a collaborative team. Qualifications - High school diploma or GED. - 1+ year of experience in medical collections, medical billing, revenue cycle, healthcare administration, or a related role. - Experience working with insurance claims, denials, appeals, payer follow-up, or account resolution. - Ability to read and interpret an explanation of benefits (EOB) and understand claim payment or denial activity. - Knowledge of insurance policies, third-party payer guidelines, and reimbursement practices. - Strong customer service, communication, organization, and problem-solving skills. - Ability to communicate clearly by phone, email, and written correspondence with patients, payers, and internal partners. - Strong attention to detail and ability to manage multiple priorities in a fast-paced environment. - Ability to handle sensitive information with care, discretion, and confidentiality. - Ability to perform basic math calculations and review account data accurately. Requirements - Strongly preferred: 1+ year of experience in home infusion billing, home infusion collections, specialty pharmacy, or a closely related healthcare setting. - 2+ years of experience in medical collections, medical billing, revenue cycle, or healthcare financial operations. - Working knowledge of ICD-10, CPT, HCPCS, and medical terminology. - Familiarity with Medicare billing requirements, including DMEMAC guidelines. - Experience with HCN360, CPR+, or similar healthcare billing systems. - Associate or bachelor's degree in healthcare administration, business, finance, or a related field. - Knowledge of financial resources or payment assistance options that support patient account resolution. Benefits - CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. - Applicants are encouraged to confidentially self-identify when applying. - Local applicants are encouraged to apply. - Drug-free work environment. - Must be eligible to work in this country. - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Role Description CarepathRx is seeking a Healthcare Collections Lead to support our Revenue Cycle team. This role is responsible for overseeing collection activities, resolving outstanding accounts, supporting staff training, and serving as a subject matter expert for billing and payer-related issues. - Manage insurance and patient account collections to ensure timely and accurate payments. - Review and resolve outstanding balances, denials, and unpaid accounts. - Monitor high-dollar accounts and identify trends impacting revenue cycle performance. - Assist with account reconciliations, adjustments, and batch posting activities. - Serve as a subject matter expert and provide guidance to collection staff. - Train and support new and existing team members. - Collaborate with billing, operations, and leadership teams to meet departmental goals. - Lead special projects and ensure timely completion of assigned initiatives. - Respond to patient, payer, and internal billing inquiries. Qualifications - Associate degree preferred. - Experience in medical collections, revenue cycle, or medical billing preferred. - Knowledge of ICD-10, HCPCS, medical terminology, third-party payer guidelines, and reimbursement practices preferred. - Proficiency with Microsoft Office applications. - Strong communication, customer service, organizational, and problem-solving skills. - Ability to manage multiple priorities while maintaining attention to detail. Requirements - Must be eligible to work in this country. - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Benefits - CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. - Local applicants are encouraged to apply. - Drug-free work environment.

• Manage insurance and patient account collections to ensure timely and accurate payments • Review and resolve outstanding balances, denials, and unpaid accounts • Monitor high-dollar accounts and identify trends impacting revenue cycle performance • Assist with account reconciliations, adjustments, and batch posting activities • Serve as a subject matter expert and provide guidance to collection staff • Train and support new and existing team members • Collaborate with billing, operations, and leadership teams to meet departmental goals • Lead special projects and ensure timely completion of assigned initiatives

• Support strong reimbursement outcomes by collecting on insurance claims and moving unpaid accounts toward timely resolution. • Research denials, rejections, and payment issues to find root causes and recommend steps that help prevent repeat problems. • Submit payer appeals within required time frames and use clear documentation to support accurate claim review. • Review patient account details, claim status, and explanations of benefits to decide the best next action, such as correction, refiling, adjustment, or appeal. • Communicate with patients, payers, outside agencies, and internal partners in a professional, helpful, and timely manner. • Document collection activity, account actions, and outcomes in patient notes, AR Aging Reports, and Over/Under Reports.