About the position
Responsibilities
• Recognizes patients' rights and responsibilities and supports them in the performance of job duties, respects patient's rights to privacy and confidentiality.
• Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary.
• Evaluates payments/denials received for correctness and ensures they are applied accordingly.
• Identifies bad debt write-offs and A/R adjustments.
• Initiates write-offs and adjustments in accordance with policies and procedures.
• Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly.
• Processes refund requests, in accordance with policies and procedures.
• Maintains contact with other departments to obtain patient or insurance information needed for claim payment.
• Responsible for understanding all procedures within regulatory mandates.
• Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.
• Makes calls to troubleshoot payment discrepancies and establish resolution.
• Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis.
• Consistently looks for areas to maximize claim reimbursement.
• Resolves issues that created a denial within 5 days of receipt of denial.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Shares knowledge gained with other staff members and works as a team member.
• Interacts with others in a positive, respectful, and considerate manner.
• Performs other job-related duties as assigned.
Requirements
• A high school diploma or general education degree (GED) equivalent is required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion, Intrathecal Pain Management experience preferred.
Benefits
• Health insurance
• Vision insurance
• Dental insurance
• Long term disability insurance
• Life insurance
• Vacation package
• 401K plan with a generous employer match
• 100% work from home model
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