Collection Specialist / Medical - Remote
4 days ago
Littleton
Job Description Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work from home. Schedule: Monday - Friday Hours vary • Competitive Pay, • Health, Dental, Vision & Life Insurance, • Company-Paid Short & Long-Term Disability, • Flexible Schedules & Paid Time Off, • Tuition Reimbursement, • Employee Discount Program & DailyPay, • 401k, • Pet Insurance Responsibilities As a Collection Specialist, you will... • Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days., • Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices., • Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections., • Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up., • Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837., • Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions., • Negotiate payment plans with patients in accordance with company collection policies., • Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel., • Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes., • Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing., • Interact with third party collection agencies., • Communicate consistently and professionally with other Amerita employees., • Work within specified deadlines and stressful situations., • Work overtime when necessary to meet department goals and objectives. Qualifications • High School Diploma/GED or equivalent required; some college a plus, • A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus, • Working knowledge of automated billing systems; experience with CPR+ preferred, • Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding, • Solid Microsoft Office skills required, including Word, Excel and Outlook, • Ability to type 40 wpm and proficiency with 10-key calculator, • Ability to independently obtain and interpret information, • Strong verbal and written communication skills