Experienced Infusion Commercial Insurance Collector

AIS Healthcare; Baltimore (MD); Remote; USD 50,000 - 70,000; Full time

Job summary

AIS Healthcare is seeking an Experienced Infusion Commercial Insurance Collector for a fully remote role. Candidates should have 3-5 years of experience in commercial insurance collections, with home infusion experience preferred. The role involves contract analysis, reimbursement, and denial management. The company offers comprehensive benefits including health, vision, dental insurance, and a 401K plan with employer match.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

Vacation Package

401K Plan with Employer Match

Qualifications

• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.

Responsibilities

• Ensure patient privacy and confidentiality, supporting patients' rights.
• Follow up on invoices to ensure prompt payment, escalating issues as needed.
• Resolve denial issues within 5 days of receipt.

Skills

Communication

Problem Solving

Integrity

Leadership

Education

High school diploma or GED

Tools

ICD-9

ICD-10

Microsoft Office

Job description

Experienced Infusion Commercial Insurance Collector

Join to apply for the Experienced Infusion Commercial Insurance Collector role at AIS Healthcare.

This is a 100% remote opportunity but requires 3-5 years of commercial insurance collection experience; home infusion experience is preferred.

Advanced Infusion Care specializes in intravenous (IV) and subcutaneous (Sub Q) immunoglobulin therapy patient care. Committed to Innovation, Stewardship, and Unity, we aim to advance quality and improve lives by providing quality products and services that enhance the care experience.

We are seeking an experienced Accounts Receivable Collection expert to join our dynamic team. This full-time role involves contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or responsible parties. Candidates should have excellent communication skills, in-depth knowledge of collection practices, and comply with federal and state regulations.

Benefits include health, vision, dental insurance, long-term disability, life insurance, a vacation package, and a 401K plan with a generous employer match. This position is fully remote, but local candidates in the DFW area may work from the office.

Education and Experience

• High school diploma or GED required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home infusion experience preferred.

Essential Duties and Responsibilities

• Ensure patient privacy and confidentiality, supporting patients' rights.
• Follow up on invoices to ensure prompt payment, escalating issues as needed.
• Evaluate payments and denials for correctness and apply them accordingly.
• Identify bad debt write-offs and A/R adjustments, initiating them per policies.
• Investigate overpayments or duplicate payments and resolve them.
• Process refund requests following policies.
• Coordinate with other departments for necessary patient or insurance information.
• Adhere to all regulatory mandates and guidelines.
• Verify billing accounts and ensure payments are correctly posted.
• Troubleshoot payment discrepancies and document calls thoroughly.
• Seek ways to maximize claim reimbursement.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and HIPAA compliance.
• Knowledge of NDC numbers, infusion supplies, and insurance plans.
• Share knowledge with team members and foster a positive work environment.
• Perform additional duties as assigned.

Qualifications

• Understanding of Revenue Cycle Management functions.
• Strong judgment and problem-solving skills respecting laws and regulations.
• Excellent communication and relationship-building skills.
• Integrity, credibility, and a strong work ethic.
• Ability to handle sensitive, confidential information in compliance with HIPAA.
• Proficiency with ICD-9 and ICD-10 coding, medical terminology, and Microsoft Office.
• Leadership ability and adaptability in a changing environment.

Application Process

Applicants must complete a Culture Index Assessment to be considered. Visit this link to complete the assessment, which takes less than ten minutes.

AIS Healthcare offers a positive work culture and seeks impact players who are motivated, honest, and diligent.