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Collection Specialist / Medical - Remote

Collection Specialist / Medical - Remote

BrightSpring Health ServicesLittleton, CO, US
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Job Description

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
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    Collection Specialist • Littleton, CO, US

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