Healthcare Collections Specialist - Pharmacy & Infusion

GeBBS Healthcare Solutions, Inc.; Connecticut; On-site; USD 42,000 - 65,000; Full time

Job summary

GeBBS Healthcare Solutions is seeking a Collections Specialist to support Coral Connect’s pharmacy and infusion revenue cycle operations. You will own an assigned AR portfolio, resolve unpaid pharmacy and infusion claims, and use Caretend to research activity and follow up with payer portals.

The ideal candidate has hands-on Caretend experience and at least two years in healthcare insurance collections or AR follow-up, with strong communication and problem-solving skills to ensure timely payment

Qualifications

• Two years of healthcare insurance collections or accounts receivable follow-up experience.
• Hands-on Caretend experience supporting billing, reimbursement, or collections workflows.
• Ability to explain actions taken to resolve a denied, delayed, or underpaid claim.
• Working knowledge of insurance reimbursement, payer follow-up, appeals, and timely filing requirements.
• Ability to interpret EOBs and ERAs and document account resolution activity.
• Strong communication, organization, and problem-solving skills.

Responsibilities

• Own an assigned accounts receivable portfolio and follow unpaid pharmacy and infusion claims through resolution.
• Investigate payment delays through payer portals and direct contact with insurance representatives.
• Use Caretend to research account activity, track outstanding issues, and maintain follow-up notes.
• Evaluate denials and partial payments, determine the cause, and coordinate the appropriate correction or escalation.
• Prepare reconsiderations and appeals with supporting records within payer deadlines.
• Interpret remittance information and distinguish between contractual adjustments, unresolved insurance balances, and patient responsibility.
• Prioritize work according to account age, balance, filing deadlines, and recovery opportunity.
• Partner with billing, intake, authorization, and clinical staff to obtain information needed for payment.
• Flag recurring reimbursement problems and communicate patterns to leadership.
• Handle patient balance questions following approved procedures and escalation guidelines.
• Meet established productivity and quality expectations while protecting confidential information.

Skills

Healthcare collections

Accounts receivable follow-up

Effective communication

Problem solving

Education

High School Diploma or equivalent

Tools

Caretend

Excel

Payer portals

Job description

GeBBS Healthcare Solutions is seeking a Collections Specialist to support Coral Connect’s pharmacy and infusion revenue cycle operations. You will own an assigned AR portfolio, resolve unpaid pharmacy and infusion claims, and use Caretend to research activity and follow up with payer portals.

The ideal candidate has hands-on Caretend experience and at least two years in healthcare insurance collections or AR follow-up, with strong communication and problem-solving skills to ensure timely payment