Experienced Infusion Insurance Collection Specialist

Ais Healthcare - Eugene, OR

Full-time - Mid Level

Remote - Eugene, OR

Ambulatory Health Care Services

About the position

The Infusion Insurance Collection Specialist is a full-time remote position responsible for managing accounts receivable collection processes within the healthcare industry. This role involves contract analysis, reimbursement, denial management, and resolving billing-related issues with insurance companies. The ideal candidate will have strong communication skills and a thorough understanding of collection practices, ensuring compliance with federal and state regulations.

Responsibilities

• Recognizes patients' rights and responsibilities and supports them in the performance of job duties.
• Follows up on invoices submitted to ensure prompt and timely payment and escalates issues as necessary.
• Evaluates payments/denials received for correctness and ensures they are applied accordingly.
• Identifies bad debt write-offs and A/R adjustments, initiating them in accordance with policies and procedures.
• Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly.
• Processes refund requests in accordance with policies and procedures.
• Maintains contact with other departments to obtain patient or insurance information needed for claim payment.
• Ensures that the activities of the collection operations are conducted in a manner consistent with overall department protocol and regulatory requirements.
• Verifies billing accounts with accounts receivable ledger to ensure all payments are accounted for and properly posted.
• Makes calls to troubleshoot payment discrepancies and establish resolution.
• Documents phone calls, phone numbers, persons spoken to, and call details consistently.
• Consistently looks for areas to maximize claim reimbursement.
• Resolves issues that created a denial within 5 days of receipt of denial.
• Maintains strictest confidentiality and adheres to all HIPAA guidelines/regulations.
• Maintains understanding of NDC numbers, metric quantities, and knowledge of infusion supplies.
• Shares knowledge gained with other staff members and works as a team member.
• Interacts with others in a positive, respectful, and considerate manner.

Requirements

• High school diploma or GED equivalent required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion experience preferred.
• Knowledge of ICD-9 and ICD-10.
• Strong knowledge of HIPAA privacy guidelines and requirements.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.

Nice-to-haves

• CPR certification or Caretend experience is a plus.

Benefits

• Health insurance
• Vision insurance
• Dental insurance
• Long term disability insurance
• Life insurance
• Vacation package
• 401K plan with generous employer match
• 100% work from home model