Infusion Collections Specialist

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

📋 Description

• Investigate all accounts receivable balances and implement necessary collection measures to resolve them promptly.

• Examine assigned correspondence and take appropriate actions to address requests.

• Review and manage requests in the correspondence folder.

• Conduct routine collection calls regarding outstanding claims.

• Detect billing discrepancies, short payments, unpaid claims, and cash application issues, resolving them as necessary.

• Identify potential risks and write-offs, appropriately status them, and inform or escalate to management.

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

• Record detailed notes in the company’s software system.

• Recognize issues and trends, escalating to the Manager when assistance is required.

• Deliver outstanding customer service to both internal and external customers.

• Ensure adherence to federal, state, and local regulations, third-party contracts, and company policies.

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

• Utilize portals and other electronic tools effectively.

• Confirm that claims are properly filed after initial submission.

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

• Compose detailed appeals including supporting documentation.

• Stay updated on payer follow-up and appeal deadlines.

• Submit secondary claims.

⛳️ Requirements

• A minimum of 2 years of experience in home infusion collections is necessary.

• Experience with the CPR+ system is highly preferred.

• High School Diploma or equivalent is required.

• Familiarity with HCPC coding and medical terminology is essential.

• Experience in providing customer service to both internal and external customers.

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

• Reliability is a must.

• Strong communication skills via phone and email are essential.

• Ability to communicate effectively with branches, management, patients, and insurance carriers.

• Capability to perform account analysis as needed.

🏝️ Benefits

• Competitive Wages

• 401(k) with a match

• Referral Bonus

• Paid Time Off

• Great Company Culture

• Annual Merit Based Increases

• No Weekends or Holidays

• Paid Parental Leave Options

• Affordable Medical, Dental, and Vision Insurance Plans

• Company Paid Disability and Basic Life Insurance

• HSA and FSA (including dependent care) Options

• Education Assistance Program