Collection Specialist / Pharmacy

MedStar Health; Englewood (CO); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading provider in Home Infusion therapy seeks a Collection Specialist to join their Revenue Cycle Management team. This role involves overseeing collection processes, adhering to compliance regulations, and negotiating payment plans. Benefits include health coverage, a retirement plan, and tuition reimbursement.

Benefits

Medical, Dental & Vision Benefits

401(k) Retirement Plan

Tuition Reimbursement

Paid Time Off & Holidays

Qualifications

• Minimum of one year of experience in medical collections required.
• Working knowledge of billing systems and managed care insurance.
• Ability to type 40 wpm and proficiency with 10-key calculator.

Responsibilities

• Ensure daily goals for cash collections and accounts receivable are met.
• Negotiate payment plans with patients as per company policies.
• Review insurance remittance advices for accuracy.

Skills

Communication

Negotiation

Problem Solving

Education

High School Diploma/GED

Some college

Tools

CPR+

Microsoft Office

Job description

Collection Specialist / Pharmacy

Job Locations

US-CO-ENGLEWOOD

ID

2025-167704

Line of Business

Amerita

Position Type

Full-Time

Pay Min

USD $21.00/Hr.

Pay Max

USD $22.00/Hr.

Our Company

Amerita

Overview

Amerita, Inc. is a leading provider in Home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work remotely from your home office.

* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts

* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance

* 401(k) Retirement Plan with Employer Match

* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability

* Employee Discounts

* Tuition Reimbursement

* Paid Time Off & Holidays

Responsibilities

As a Collection Specialist, you will...

Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days.

• Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices.
• Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections.
• Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up.
• Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837.
• Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
• Negotiate payment plans with patients in accordance with company collection policies.
• Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
• Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes.
• Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing.
• Interact with third party collection agencies.
• Communicate consistently and professionally with other Amerita employees.
• Work within specified deadlines and stressful situations.
• Work overtime when necessary to meet department goals and objectives.

Qualifications

• High School Diploma/GED or equivalent required; some college a plus
• A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
• Working knowledge of automated billing systems; experience with CPR+ preferred
• Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
• Solid Microsoft Office skills required, including Word, Excel and Outlook
• Ability to type 40 wpm and proficiency with 10-key calculator
• Ability to independently obtain and interpret information
• Strong verbal and written communication skills

About our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Salary Range

USD $21.00 - $22.00 / Hour