Collection Specialist / Medical
reputed company
reputed company. is a leading provider in Home Infusion therapy. We are looking for a Collection Specialist to join our reputed company Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. As a reputed company member of the Collection team, you will be responsible for a broad reputed company of collection processes reputed company to medical account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work remotely from home reputed company the reputed company USA.
• Medical, Dental & reputed company Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan with Employer Match
• Company reputed company Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• reputed company Time Off & Holidays
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, reputed company, patient reputed company and ethical billing and collection practices.
• Research outstanding balances and take necessary collection reputed company to resolve in a reputed company manner; recommend necessary demographic changes to patient accounts to ensure reputed company collections.
• Research assigned correspondence; take necessary reputed company to resolve requested information in a reputed company manner; establish appropriate follow up.
• Resubmit accurate and reputed company claims in formats including, but not limited to, CMS-1500 and electronic 837.
• Utilize the mose efficient resources to secure reputed company payment of reputed company claims or invoices, giving reputed company 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 reputed company and generate necessary adjustments (reputed company eligible guidelines), overpayment notifications, refund requests and secondary billing.
• reputed company with reputed company party collection agencies.
• Communicate consistently and professionally with other reputed company employees.
• Work reputed company specified deadlines and stressful situations.
• Work overtime reputed company 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, reputed company insurance, Medicare and reputed company reimbursement; home infusion experience a plus
• Working knowledge of automated billing systems; experience with CPR+ preferred
• Working knowledge and application of metric measurements, basic reputed company practices, ICD-9, CPT and HCPCS coding
• Solid reputed company Office skills required, including Word, reputed company and reputed company
• Ability to type 40 wpm and proficiency with 10-key calculator
• Ability to independently obtain and interpret information
• Strong verbal and written communication skills
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