Remote Reimbursement Specialist: Billing & Collections

PROMPTCARE HOME INFUSION LLC; Oregon; Hybrid; USD 52,000 - 76,000; Full time

Job summary

PromptCare is seeking a highly motivated Reimbursement Specialist to join our team. The role focuses on all patient billing and collections with expertise in insurance data collection, verification, and authorization.

You will document and input referrals and admissions in accordance with PromptCare policies, while supporting a fast-paced infusion reimbursement environment. This remote position reports to the Departmental Lead/Supervisor or Manager and is a full-time, 40-hour-per-week role,

Qualifications

• High School Diploma or equivalent.
• 2-3 years of experience in electronic claims submission and medical collections preferred.
• Working knowledge of insurance plans including Medicare and Medicaid required.
• Industry experience with billing/collections in DME, home infusion and/or enteral preferred.
• Accounts receivable and accounting experience preferred.
• Knowledge of CPR+ and/or Caretend software preferred.

Responsibilities

• Collections of third-party payor accounts for assigned payers.
• Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research.
• Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans.
• Identify adjustments, payment trends and denials and ensure problems are escalated as necessary.
• Maintain confidentiality in all aspects of patient care, employee activities and office environment.
• Communicate changes regularly or as often as needed.
• Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections.
• Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes.
• Field and troubleshoot calls from patients regarding benefit, claims and patient balances.
• Pro-actively seek resolutions to any billing issues that may arise.
• Perform CPR+/Caretend related transactions accurately and timely.
• Perform other duties as assigned

Skills

Electronic claims submission

Medical collections

Insurance plans knowledge

DME/home infusion billing

Accounts receivable

Education

High School Diploma or equivalent

Tools

CPR+

Caretend

Job description

PromptCare is seeking a highly motivated Reimbursement Specialist to join our team. The role focuses on all patient billing and collections with expertise in insurance data collection, verification, and authorization.

You will document and input referrals and admissions in accordance with PromptCare policies, while supporting a fast-paced infusion reimbursement environment. This remote position reports to the Departmental Lead/Supervisor or Manager and is a full-time, 40-hour-per-week role,