Experienced Infusion Commercial Insurance Collector

Hirebridge; Cincinnati (OH); Remote; USD 50,000 - 65,000; Full time

Job summary

A leading healthcare company is seeking an experienced Infusion Commercial Insurance Collector for a fully remote position. The ideal candidate will have 3-5 years of experience in commercial insurance collections and a strong understanding of billing practices. This role involves managing billing-related issues, ensuring compliance with regulations, and maximizing claim reimbursements. Candidates must demonstrate excellent communication and relationship-building skills, along with a strong work ethic. Join a dynamic team committed to improving patient care and enjoy a supportive work culture with great benefits.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

Vacation Package

401K Plan with Employer Match

Qualifications

• 3-5 years of commercial insurance collection experience required.
• Proficiency with ICD-9 and ICD-10 coding.
• Strong work ethic, integrity, and credibility.

Responsibilities

• Follow up on invoices to ensure prompt payment; escalate issues as needed.
• Investigate overpayments or duplicate payments and resolve accordingly.
• Document all communications thoroughly.

Skills

Communication

Relationship Building

Problem Solving

Education

High school diploma or GED

3-5 years of healthcare industry experience

3-5 years of medical billing and collections experience

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 core values of Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We aim to do 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 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 the office.

The ideal candidate should possess outstanding communication skills, extensive knowledge of collection practices, and the ability to work in compliance with Federal and State regulations related to billing and collection activities.

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

Essential Duties and Responsibilities:

• Support patients' rights to privacy and confidentiality.
• Follow up on invoices to ensure prompt payment; escalate issues as needed.
• Assess payments and denials for correctness and apply them appropriately.
• Identify bad debts and A/R adjustments; initiate write-offs and adjustments per policies.
• Investigate overpayments or duplicate payments and resolve accordingly.
• Process refund requests following policies.
• 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.
• Seek opportunities to maximize claim reimbursements.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and adhere to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, and relevant medical terminology.
• 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 and their integration.
• Good judgment in solving complex situations within laws and regulations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Ability to handle sensitive information per HIPAA guidelines.
• Proficiency with ICD-9 and ICD-10 coding.
• Knowledge of medical terminology and billing procedures.
• Leadership ability in a changing environment.
• Effective communication with patients, staff, and external stakeholders.
• Self-directed, organized, detail-oriented, and reliable.
• Ability to train and prioritize work effectively.
• Strong relationship-building skills.
• Proficiency in Microsoft Office applications.

Steps to Apply:

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

We offer a positive work culture seeking impact players who are earnest, hardworking, and positive.