RCM Specialist - Collections

Kinney Drugs, Inc.; Hoffman Estates (IL); On-site; USD 42,000 - 70,000; Full time

Job summary

A healthcare provider in Hoffman Estates seeks an RCM Specialist - Collections. The role requires expertise in interpreting medical records for billing, a solid understanding of home infusion processes, and experience in pharmacy collections. The ideal candidate must possess a high school diploma/GED and demonstrate excellent communication, mathematical competencies, and proficiency with relevant software applications. This position offers a promising opportunity for those looking to expand their career in the healthcare billing sector.

Qualifications

• Ability to read and interpret medical records for billing purposes.
• Competent in mathematic equations.
• Ability to compute unit conversions for drugs.
• Understanding of CPT, HCPCS, ICD-10, and NDC codes.
• Diligent attention to detail.
• Excellent verbal and written communication.
• Understanding of HIPAA compliance.
• Self-directed, has the ability to work with little supervision.
• Proficiency in Excel, Outlook, and all other office applications.
• Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.).
• Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures.
• Deep understanding of home infusion process, therapies, and related services.
• Ability to understand payer explanation of benefits.

Skills

Medical record interpretation

Mathematical competency

Unit conversion calculation

Knowledge of CPT, HCPCS, ICD-10, NDC codes

Attention to detail

Excellent communication skills

Understanding of HIPAA compliance

Self-directed work ethic

Proficiency in Excel and Outlook

Familiarity with pharmacy management systems

Knowledge of insurance benefits and policies

Understanding of home infusion processes

EOB interpretation

Education

High school diploma or GED

Tools

CPR+

Wellsky

CareTend

Job description

RCM Specialist - Collections

Job Skill Requirements

• Ability to read and interpret medical records for billing purposes.
• Competent in mathematic equations.
• Ability to compute unit conversions for drugs.
• Understanding of CPT, HCPCS, ICD-10, and NDC codes.
• Diligent attention to detail.
• Excellent verbal and written communication.
• Understanding of HIPAA compliance.
• Self-directed, has the ability to work with little supervision.
• Proficiency in Excel, Outlook, and all other office applications.
• Familiarity with pharmacy management systems (CPR+, Wellsky, and CareTend, etc.).
• Understanding of various insurance plan benefits, payer payment policies, and reimbursement procedures.
• Deep understanding of home infusion process, therapies, and related services.
• Ability to understand payer explanation of benefits.

Educational Requirements

• High school diploma or GED

Experience

• One to three years of experience in Home Infusion or Specialty Pharmacy collections.