Experienced Home Infusion Collection Specialist

Hirebridge; Baltimore (MD); Remote; USD 40,000 - 80,000; Full time

Job summary

Join a forward-thinking organization dedicated to improving patient care through innovative therapy solutions. As a Home Infusion Collection Specialist, you'll manage essential collection processes while ensuring compliance with federal and state regulations. This remote role offers the flexibility to work from home, with a focus on enhancing the patient experience. The ideal candidate will possess strong communication skills and a solid understanding of collection practices. With a commitment to quality and a supportive culture, this is an excellent opportunity for those looking to make a meaningful impact in healthcare.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

401K Plan with Employer Match

Long-term Disability Insurance

Life Insurance

Vacation Package

Qualifications

• 3-5 years of experience in medical billing and collections.
• Understanding of Revenue Cycle Management functions.
• Ability to handle sensitive information in compliance with HIPAA.

Responsibilities

• Manage collection processes, including contract analysis and denial management.
• Evaluate payments and denials for correctness and ensure proper application.
• Coordinate with other departments to obtain necessary patient or insurance information.

Skills

Communication Skills

Knowledge of Collection Practices

Problem-Solving Skills

HIPAA Compliance

Microsoft Office Proficiency

Education

High School Diploma or GED

3-5 Years Healthcare Industry Experience

3-5 Years Medical Billing and Collections Experience

Tools

ICD-9 Coding

ICD-10 Coding

Job description

Experienced Home Infusion Collection Specialist

Advanced Infusion Care specializes in intravenous (IV) and subcutaneous (Sub Q) immunoglobulin therapy patient care. With our diverse culture and our values around Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

AIC is seeking an experienced and motivated Accounts Receivable Collection specialist to join our dynamic team. This is a remote position, but candidates local to the DFW area may work from the office. The role involves managing collection processes, including contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies or responsible parties for services rendered.

The ideal candidate should have excellent communication skills, in-depth knowledge of collection practices, and the ability to work in compliance with federal and state regulations related to billing and collections.

AIC, a division of AIS Healthcare, offers comprehensive benefits such as health, vision, dental insurance, long-term disability, life insurance, a vacation package, and a 401K plan with a generous employer match. We also support a 100% work-from-home model.

Education and Experience:

• High school diploma or GED equivalent.
• 3-5 years of healthcare industry experience.
• 3-5 years of medical billing and collections experience.
• Experience in home infusion is preferred.
• CPR certification and CareTend experience are pluses.

Essential Duties and Responsibilities:

• Respect patient rights and confidentiality, supporting them in job duties.
• Follow up on invoices to ensure prompt payment, escalating issues as needed.
• Evaluate payments and denials for correctness and ensure proper application.
• Identify bad debts and process write-offs and adjustments according to policies.
• Investigate and resolve overpayments or duplicate payments.
• Process refunds following policies.
• Coordinate with other departments to obtain necessary patient or insurance information.
• Understand all procedures within regulatory mandates.
• Ensure collection activities comply with federal, state, and payer regulations.
• Verify billing accounts against the receivable ledger.
• Troubleshoot payment discrepancies and document calls thoroughly.
• Seek opportunities to maximize claim reimbursement.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and adhere to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, and medical codes.
• Share knowledge with team members and collaborate effectively.
• Interact positively and respectfully with others.
• Perform other duties as assigned.

Qualifications:

• Understanding of Revenue Cycle Management functions.
• Ability to evaluate and exercise judgment in complex situations, adhering to laws and regulations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Ability to handle sensitive information in compliance with HIPAA.
• Proficiency with ICD-9 and ICD-10 coding.
• Knowledge of medical terminology.
• Leadership ability in a changing environment.
• Effective communication skills with patients and staff.
• Self-motivated, organized, detail-oriented, and conscientious.
• Ability to train and organize work for others.
• Problem-solving skills involving multiple variables.
• Ability to establish effective working relationships.
• Tolerance for interruptions and distractions.
• Proficiency in Microsoft Office applications.

Application Steps:

Complete a Culture Index Assessment to be considered. Applications without this assessment will not be reviewed.

AIS Healthcare provides advanced sterile, patient-specific intrathecal pump medications, and in-home infusion therapies, supporting physicians and hospitals in delivering superior care.

We seek impact players who are positive, earnest, and hardworking to join our vibrant work culture.