Experienced Medical Insurance Collection Specialist

AIS Healthcare; Denver (CO); Remote; USD 50,000 - 70,000; Full time

Job summary

AIS Healthcare is seeking motivated Accounts Receivable Collection experts for a fully remote role. This position involves managing collections for targeted drug delivery services, with a focus on contract analysis and resolving billing issues. Ideal candidates should have extensive experience in medical collections and a robust understanding of healthcare billing processes. AIS Healthcare offers a supportive work culture and comprehensive benefits.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability Insurance

Life Insurance

Vacation Package

401K Plan with Employer Match

Qualifications

• 3-5 years of medical billing and collections experience required.
• Strong understanding of laws and regulations.
• Self-directed and reliable.

Responsibilities

• Follow up on invoices to ensure timely payment.
• Resolve payment discrepancies and document communications.
• Maintain compliance with regulations and department protocols.

Skills

Communication

Judgment

Problem Solving

Attention to Detail

Negotiation

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

This is a 100% remote opportunity; however, please only apply if you have 3 to 5 years of medical insurance collection experience.

AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture and our 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.

AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services, 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 in-depth knowledge of collection practices related to billing and collection activities.

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 general education degree (GED) equivalent is required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion and Intrathecal Pain Management experience preferred.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Recognize patients’ rights and responsibilities and support them in the performance of job duties, respecting patient privacy and confidentiality.
• Follow up on invoices submitted to ensure prompt and timely payment and escalate issues as necessary.
• Evaluate payments and denials received for correctness and ensure they are applied accordingly.
• Identify bad debt write-offs and A/R adjustments; initiate write-offs and adjustments per policies and procedures.
• Identify overpayments and duplicate payments; investigate and resolve accordingly.
• Process refund requests following policies and procedures.
• Maintain contact with other departments to obtain patient or insurance information needed for claim payment.
• Understand all procedures within regulatory mandates.
• Ensure collection activities comply with department protocols and follow Federal, State, and payer regulations.
• Troubleshoot payment discrepancies via calls and establish resolutions.
• Document all communications in detail, including phone calls, contact information, and call specifics.
• Seek areas to maximize claim reimbursement.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Maintain knowledge of NDC numbers, infusion supplies, and medical terminology.
• Share knowledge with team members and collaborate effectively.
• Interact positively, respectfully, and considerately with others.
• Perform other related duties as assigned.

QUALIFICATION REQUIREMENTS :

• Good judgment in solving complex situations, with knowledge of laws and regulations.
• Excellent communication and relationship-building skills, with the ability to prioritize and negotiate.
• Strong work ethic, integrity, and credibility.
• Self-directed, detail-oriented, organized, and reliable.
• Capable of handling problems with multiple variables.
• Adaptable to frequent interruptions and distractions.
• Proficient in Microsoft Office applications.

Steps to Apply :

Complete a Culture Index Assessment to be considered. Your application will not be reviewed without this step.

portal.cultureindex.com/public/survey/general/0BFB8F0000

AIS Healthcare specializes in advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion therapies, supporting physicians and hospitals in delivering superior care.

We value a positive, earnest, and hardworking impact player and offer a supportive work culture.