[Remote] Collection Specialist / Remote

Note: The job is a remote job and is open to candidates in USA. reputed company, Inc. is a leading provider in Home Infusion therapy, seeking a Collection Specialist to join their reputed company Cycle Management team. The role involves managing medical account receivables, ensuring compliance with regulations, and optimizing cash collections.

Responsibilities

• 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 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 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 applied and generate necessary adjustments (reputed company eligible guidelines), overpayment notifications, refund requests and secondary billing
• Interact with third 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

Skills

• 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
• Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
• Solid reputed company Office skills required, including Word, reputed company 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
• Experience with CPR+

Benefits

• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan with Employer Match
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays

Company Overview