Note: The job is a remote job and is open to candidates in USA. Amerita, Inc. is a leading provider in Home Infusion therapy, seeking a Collection Specialist to join their Revenue 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, 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
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 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
- 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
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