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Accounts Receivables & Billing Specialist

Accounts Receivables & Billing Specialist

Prosper InfusionWestchase, FL, US
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POSITION DESCRIPTION

  • Home Infusion Pharmacy Accounts Receivables (AR) & Collections Experience Required
  • Prosper Infusion is looking for experienced and motivated AR & Collections Specialist to join our dynamic team!

The AR & Collections Specialist is responsible for a broad range of billing processes related to paid and unpaid claims.

Responsible for contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered.

Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred.

Major Responsibilities :

  • Ensures daily accomplishments work towards company goals for cash collections and A / R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined.
  • Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended.
  • Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims.
  • Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets.
  • If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed.
  • Works within specified deadlines and stressful situations.
  • Works overtime when necessary to meet department goals and objectives.
  • Performs other tasks or special projects as assigned.
  • Education / Experience :

  • High School Diploma or equivalent (GED) required.
  • College degree preferred in accounting or business.
  • Excellent interpersonal, communication and organizational skills required.
  • Ability to prioritize, problem solve, and multitask is required.
  • A minimum of 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.
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    Billing Specialist • Westchase, FL, US