Experienced Infusion Commercial Insurance Collector

Hirebridge; Chico (CA); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading company in healthcare is seeking an experienced Infusion Commercial Insurance Collector for a remote position. The role involves managing accounts receivable, resolving billing issues, and ensuring compliance with regulations. Ideal candidates will have extensive experience in medical billing and collections, with strong communication and problem-solving skills. This full-time role offers comprehensive benefits and supports a positive work culture.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-Term Disability

Life Insurance

401K Plan with Employer Match

Vacation Package

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, ensuring correct application.
• Maintain confidentiality and adhere to HIPAA guidelines.

Skills

Communication

Problem-Solving

Integrity

Organizational Skills

Education

High School Diploma or GED

Tools

Microsoft Office

ICD-9

ICD-10

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. Committed to innovation, stewardship, and unity, we focus on advancing quality and improving lives by providing exceptional products and services that enhance the entire care experience.

We are seeking an experienced and motivated Accounts Receivable Collection specialist to join our dynamic team. This full-time, remote position involves contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties.

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

AIC, a division of AIS Healthcare, offers comprehensive benefits including health, vision, dental insurance, long-term disability, life insurance, a vacation package, and a 401K plan with a generous employer match. We 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 a plus.

Essential Duties and Responsibilities:

• Respect patient rights and confidentiality.
• Follow up on invoices to ensure prompt payment; escalate issues as needed.
• Evaluate payments and denials, ensuring correct application.
• Identify bad debts and initiate write-offs and adjustments per policies.
• Investigate overpayments or duplicate payments and resolve accordingly.
• Process refund requests following policies.
• Coordinate with other departments for necessary patient or insurance information.
• Ensure compliance with all regulatory mandates.
• Conduct activities in accordance with federal, state, and payer regulations.
• Verify billing accounts against receivable ledger for accuracy.
• Troubleshoot payment discrepancies and document all communications thoroughly.
• Seek opportunities to maximize claim reimbursements.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, and insurance plans.
• Share knowledge and collaborate effectively with team members.
• Perform other duties as assigned.

Qualifications:

• Understanding of Revenue Cycle Management functions.
• Strong judgment and problem-solving skills within legal and regulatory frameworks.
• Excellent communication and relationship-building skills.
• Integrity, credibility, and a strong work ethic.
• Ability to handle sensitive information per HIPAA guidelines.
• Proficiency with ICD-9 and ICD-10 coding and medical terminology.
• Leadership skills in a dynamic environment.
• Effective communication with patients, staff, and external stakeholders.
• Organized, detail-oriented, and self-motivated.
• Experience in training and supervising staff preferred.
• Proficient in Microsoft Office applications.

Steps to Apply:

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

About AIS Healthcare: We provide advanced sterile, patient-specific intrathecal pump medications, in-home intravenous infusion, and immune globulin therapies, supporting physicians and hospitals in delivering superior care.

We foster a positive, impactful work culture and seek dedicated, hardworking individuals.