Experienced Home Infusion Collection Specialist

Hirebridge; Baton Rouge (LA); Remote; USD 40,000 - 70,000; Full time

Job summary

Eine dynamische Organisation sucht einen erfahrenen Accounts Receivable Collection Specialist, um das Team zu verstärken. In dieser Rolle sind Sie verantwortlich für die Überwachung des Inkassoprozesses, die Analyse von Verträgen und die Lösung von Rechnungsproblemen. Mit einem klaren Fokus auf Kommunikation und Compliance in Bezug auf Bundes- und Landesvorschriften, bieten Sie eine wertvolle Unterstützung für Patienten und Versicherungsunternehmen. Das Unternehmen bietet eine 100%ige Homeoffice-Option und hervorragende Leistungen, die eine ausgewogene Work-Life-Balance fördern. Wenn Sie ein leidenschaftlicher und motivierter Profi sind, der einen positiven Einfluss auf die Patientenversorgung haben möchte, dann ist dies die perfekte Gelegenheit für Sie.

Benefits

Gesundheitsversicherung

Zahnversicherung

Langzeit-Invaliditätsversicherung

Lebensversicherung

Urlaubsanspruch

401K-Plan mit Arbeitgeberanteil

Qualifications

• Verständnis der Funktionen des Revenue Cycle Management.
• Kenntnisse über HIPAA-Privatsphäre-Richtlinien und medizinische Terminologie.

Responsibilities

• Überwachung von Rechnungen zur Sicherstellung der pünktlichen Zahlung.
• Bearbeitung von Rückerstattungsanfragen gemäß den Richtlinien.
• Dokumentation aller Kommunikationen gründlich.

Skills

Kommunikationsfähigkeiten

Kenntnisse im Forderungsmanagement

Kenntnisse in der medizinischen Abrechnung

Kenntnisse in ICD-9 und ICD-10 Codierung

Kenntnisse der medizinischen Terminologie

Problemlösungsfähigkeiten

Education

Hochschulabschluss oder GED

3-5 Jahre Erfahrung im Gesundheitswesen

3-5 Jahre Erfahrung in der medizinischen Abrechnung und Inkasso

Tools

Microsoft Office

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 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 looking for an experienced and motivated Accounts Receivable Collection expert to join our dynamic team! This position is a remote hire position, but if local to DFW area, it could work from the office. The AR Collection role is full-time and responsible for collection processes including contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties for services rendered.

The ideal candidate should have outstanding communication skills, in-depth knowledge of collection practices, and work in compliance with Federal and State rules, regulations, and policies related to billing and collection activities.

AIC, a division of AIS Healthcare, offers great benefits, including health, vision, and dental insurance, long-term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work-from-home model.

Education and Experience:

• A high school diploma or GED equivalent is required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion experience preferred.
• CPR+/Caretend experience is a plus.

Essential Duties and Responsibilities:

• Respect patients’ rights and confidentiality, supporting them in job duties.
• Follow up on invoices to ensure prompt payment and escalate issues as needed.
• Evaluate payments and denials for correctness and proper application.
• Identify bad debts and A/R adjustments; initiate write-offs and adjustments per policies.
• Identify overpayments or duplicate payments, investigate, and resolve.
• Process refund requests according to policies.
• Coordinate with other departments to obtain needed 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 for accuracy.
• Troubleshoot payment discrepancies and establish resolutions.
• Document all communications thoroughly.
• Maximize claim reimbursements and resolve denials within 5 days.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, insurance plans, medical terminology, billing procedures, and medical codes.
• Share knowledge with team members and work collaboratively.
• Interact positively and respectfully with others.
• Perform other related duties as assigned.

Qualifications:

• Understanding of Revenue Cycle Management functions.
• Good judgment in complex situations, with legal and regulatory awareness.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Ability to handle sensitive information, with knowledge of HIPAA privacy guidelines.
• Proficiency with ICD-9 and ICD-10 coding.
• Knowledge of medical terminology.
• Ability to lead a diverse team in a changing environment.
• Effective communication with patients, staff, and external stakeholders.
• Self-directed, organized, detail-oriented, and reliable.
• Ability to train and organize work effectively.
• Skill in problem-solving involving multiple variables.
• Ability to establish effective working relationships.
• Tolerance for interruptions and distractions.
• Proficient in Microsoft Office applications.

Steps to Apply:

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

AIS Healthcare provides advanced sterile, patient-specific intrathecal pump medications, in-home intravenous infusion, and immune globulin 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.