RCM, Collections Specialist, Medical Biller

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

📋 Description

• Submits invoices to payers promptly and accurately for the products and services rendered.

• Familiar with the terms and fee schedule for all contracts related to invoicing.

• Accurately determines quantities and pricing for billed medications.

• Confirms that services and products are properly authorized and that necessary documentation is maintained.

• Ensures that invoices are sent for services and products that have been appropriately ordered and verified as delivered.

• Reviews payments received for accuracy and applies them correctly in the system.

• Confirms that received payments align with the fee schedule.

• Appropriately allocates payments to the patient accounts.

• Guarantees that secondary billing and patient invoices are dispatched within 48 hours of payment receipt.

• Alerts the Reimbursement Manager regarding any overpayments or duplicate payments for the same service.

• Transfers payments meant for other offices within 48 hours of their receipt.

• Follows up on submitted invoices to ensure timely payment.

• Makes calls to verify receipt and processing status of submitted claims.

• Sends correspondence to the patient or responsible party if their insurance provider fails to make payment within a reasonable timeframe.

• Generates and sends out statements and collection letters.

• Conducts follow-ups on all denials within 48 hours of receipt.

• Ensures adherence to policies and guidelines specified in the contract terms and fee schedule.

• Complies with HIPAA regulations when accessing and sharing patient information to uphold patient and business confidentiality.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• 0 – 6 months of prior experience in Infusion Reimbursement or Intake/Admissions.

• Basic proficiency in Microsoft Excel.

• Basic proficiency in Microsoft Word.

🏝️ Benefits

• Medical, Dental, & Vision Insurance.

• Paid Time Off.

• Bonding Time Off.

• 401K Retirement Savings Plan with Company Match.

• HSA Company Match.

• Flexible Spending Accounts.

• Tuition Reimbursement.

• myFlexPay.

• Family Support.

• Mental Health Services.

• Company Paid Life Insurance.

• Award/Recognition Programs.