Collection Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Investigate account receivable balances and take appropriate collection actions to resolve them swiftly.

• Address assigned correspondence and fulfill requests effectively.

• Review and manage requests in the correspondence folder.

• Conduct collection calls regarding outstanding claims.

• Detect and rectify billing discrepancies, short payments, unpaid claims, and cash application challenges.

• Spot potential risks and write-offs, and report them to management for escalation.

• Investigate payer refund requests and process refunds based on findings.

• Maintain comprehensive notes within the company software system.

• Identify issues and trends, escalating them to the Manager when additional support is required.

• Deliver exceptional customer service to both internal and external clients.

• Ensure adherence to governmental regulations, third-party contracts, and company policies.

• Communicate effectively with branches, management, patients, and insurance providers.

• Conduct account analyses.

• Handle phone inquiries and assist patients with balance-related questions.

• Utilize portals and various electronic tools.

• Verify that claims are properly filed after the initial submission.

• Identify, escalate, and prepare potential payor projects for management and company representatives.

• Draft detailed appeals with necessary supporting documentation.

• Monitor follow-up and appeal deadlines for payors.

• Submit secondary claims.

⛳️ Requirements

• Prior experience in Home Infusion and Acute/Specialty Infusion Pharmacy is essential.

• Home Infusion experience is a must.

• A high school diploma or equivalent is required.

• An associate degree in finance, accounting, or a related field is preferred.

• A minimum of 1–3 years of solid collections experience is necessary.

• Familiarity with HCPC coding and medical terminology is important.

• Experience with CPR+ and Waystar systems is preferred.

• Strong math and writing skills are required.

• Excellent interpersonal, communication, and organizational abilities are essential.

• Capability to prioritize tasks, solve problems, and multitask effectively.

• Proficiency in Word, Excel, and Outlook is required.

• Availability to work Monday–Friday, from 9:00 a.m. to 5:30 p.m., for a total of 40 hours per week.

🏝️ Benefits

• Competitive wages.

• Flexible schedules.

• 401(k) plan with matching contributions.

• Referral bonus opportunities.

• Annual merit-based increases.

• No weekends or holidays!

• Affordable medical, dental, and vision insurance plans.

• Company-paid disability and basic life insurance.

• Options for HSA and FSA, including dependent care.

• Paid time off!

• Education assistance program.