Ais Healthcare - Amarillo, TX
posted 20 days ago
Full-time - Mid Level
Remote - Amarillo, TX
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 follow regulations.
- 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.
- CPR +/Caretend experience a plus.
- Understanding of all Revenue Cycle Management functions and their integration.
- Excellent verbal and written communication and relationship-building skills.
- Strong work ethic with personal qualities of integrity and credibility.
- Ability to deal with highly sensitive and confidential material, with strong knowledge of HIPAA privacy guidelines.
- Competence with ICD-9 and ICD-10 and knowledge of medical terminology.
- Ability to assist in leading a diverse department in a changing environment.
- Self-directed, detail-oriented, conscientious, organized, and able to follow through.
Nice-to-haves
- Experience with home infusion services.
- Familiarity with various insurance plans and medical codes.
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
