RCM, Collections Specialist, Medical Biller

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

📋 Description

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

• Comprehends the terms and fee schedules associated with all contracts for which invoices are issued.

• Accurately calculates quantities and prices for billed medications.

• Confirms that services and products have the necessary authorization and that required documentation is maintained.

• Ensures invoices are submitted for services and products that have been properly ordered and confirmed as delivered.

• Assesses received payments for accuracy and applies them correctly to the system.

• Validates that incoming payments are accurate according to the established fee schedule.

• Appropriately applies payments to patient accounts.

• Guarantees that secondary bills 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 allocated to other offices within 48 hours of receipt.

• Follows up on submitted invoices to ensure timely and prompt payment.

• Contacts to confirm that submitted claims have been received and are being processed.

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

• Generates and sends out statements and collection letters.

• Follows up 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 guidelines when accessing and sharing patient information to uphold patient and business confidentiality.

⛳️ Requirements

• High School Diploma or equivalent.

• 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.