Experienced Infusion Commercial Insurance Collector

Hirebridge; Chattanooga (TN); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking an experienced Infusion Commercial Insurance Collector for a 100% remote opportunity. The role involves managing billing and collections, ensuring compliance with regulations, and maximizing reimbursement opportunities. Candidates should possess strong communication skills and have a solid understanding of the healthcare billing process. This full-time position offers comprehensive benefits, including health insurance and a 401K plan.

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

• Follow up on invoices to ensure prompt payment.
• Evaluate payments and denials for correctness.
• Maximize claim reimbursement opportunities.

Skills

Communication

Problem Solving

Integrity

Attention to Detail

Education

High school diploma or GED

Tools

ICD-9

ICD-10

Microsoft Office

Job description

Experienced Infusion Commercial Insurance Collector

This is a 100% remote opportunity, but candidates must have 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. 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 seeking an experienced and motivated Accounts Receivable Collection expert to join our dynamic team. This full-time, remote role involves contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties for services rendered. Candidates local to the DFW area may have the option to work from our office.

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 collection activities.

Our division of AIS Healthcare offers comprehensive benefits, including health, vision, and 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 required
• 3-5 years of healthcare industry experience required
• 3-5 years of medical billing and collections experience required
• Home infusion experience preferred
• CPR 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 apply accordingly
• Identify bad debts and A/R adjustments; initiate write-offs and adjustments per policies
• Investigate overpayments and duplicate payments, resolving issues accordingly
• Process refund requests following policies and procedures
• Coordinate with other departments to obtain necessary patient or insurance information
• Ensure activities comply with regulatory mandates and guidelines
• Verify billing accounts against the receivable ledger
• Troubleshoot payment discrepancies and establish resolutions
• Document all communications thoroughly
• Maximize claim reimbursement opportunities
• Resolve denial issues within 5 days of receipt
• Maintain HIPAA confidentiality and adhere to all regulations
• Maintain knowledge of NDC numbers, infusion supplies, and medical coding
• Share knowledge with team members and promote a positive work environment
• Perform other duties as assigned

Qualification Requirements:

• Comprehensive understanding of Revenue Cycle Management functions
• Strong judgment and problem-solving skills within legal and regulatory frameworks
• Excellent communication and relationship-building skills
• Integrity and credibility in handling sensitive information
• Proficiency with ICD-9 and ICD-10 coding
• Knowledge of medical terminology and billing procedures
• Ability to lead and adapt within a dynamic environment
• Effective communication with patients, staff, and external stakeholders
• Self-directed, organized, detail-oriented, and capable of following through
• Ability to train and prioritize work effectively
• Strong interpersonal skills and ability to handle interruptions
• Proficiency in Microsoft Office applications

Steps to Apply:

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

We offer a positive work culture and are seeking impact-driven, earnest, and hardworking individuals.