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Medical Collection Specialist
BrightSpring Health Services • Remote • Posted 7 days ago
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Remote • Full-time • $20.00-$21.00/hr • Entry Level
Job Highlights
Using AI ⚡ to summarize the original job post
Amerita is seeking a Medical Collection Specialist to join their Revenue Cycle Management (RCM) team. This role involves a broad range of collection processes related to medical account receivable, supporting a single or multiple site locations. The position offers the opportunity to work from home, with a focus on ensuring cash collections and managing Account Receivable over 90 days, adhering to compliance and ethical billing standards.
Responsibilities
- Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days.
- Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices.
- Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections.
- Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up.
- Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837.
- Utilize the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
- Negotiate payment plans with patients in accordance with company collection policies.
- Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
- Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes.
- Review residual account balances after payments are applied and generate necessary adjustments, overpayment notifications, refund requests and secondary billing.
- Interact with third party collection agencies.
- Communicate consistently and professionally with other Amerita employees.
- Work within specified deadlines and stressful situations.
- Work overtime when necessary to meet department goals and objectives.
Qualifications
Required
- High School Diploma/GED or equivalent required
- A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
- Working knowledge of automated billing systems; experience with CPR+ preferred
- Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
- Solid Microsoft Office skills required, including Word, Excel and Outlook
- Ability to type 40 wpm and proficiency with 10-key calculator
- Ability to independently obtain and interpret information
- Strong verbal and written communication skills
About BrightSpring Health Services
BrightSpring Health Services operates in the healthcare industry, providing comprehensive home and community-based health services to complex populations. They specialize in caring for individuals with complex care needs, offering services such as filling prescriptions for polypharmacy patients and supporting intellectually and developmentally disabled individuals to live in a home-like environment.
Full Job Description
Our Company
Amerita
Overview
Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.
We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work from home. NOTE: Must have previous medical collections experience.
- Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts- Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance- 401(k) Retirement Plan with Employer Match- Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability- Employee Discounts- Tuition Reimbursement- Paid Time Off & Holidays
Responsibilities
As a Collection Specialist, you will...
+ Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days.
+ Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices.
+ Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections.
+ Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up.
+ Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837.
+ Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
+ Negotiate payment plans with patients in accordance with company collection policies.
+ Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
+ Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes.
+ Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing.
+ Interact with third party collection agencies.
+ Communicate consistently and professionally with other Amerita employees.
+ Work within specified deadlines and stressful situations.
+ Work overtime when necessary to meet department goals and objectives.
Qualifications
+ High School Diploma/GED or equivalent required; some college a plus
+ A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
+ Working knowledge of automated billing systems; experience with CPR+ preferred
+ Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
+ Solid Microsoft Office skills required, including Word, Excel and Outlook
+ Ability to type 40 wpm and proficiency with 10-key calculator
+ Ability to independently obtain and interpret information
+ Strong verbal and written communication skills
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .
Salary Range
USD $20.00 - $21.00 / Hour
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-CO-ENGLEWOOD
ID 2024-151454
Line of Business Amerita
Position Type Full-Time
Pay Min USD $20.00/Hr.
Pay Max USD $21.00/Hr.
Amerita
Overview
Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.
We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work from home. NOTE: Must have previous medical collections experience.
- Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts- Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance- 401(k) Retirement Plan with Employer Match- Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability- Employee Discounts- Tuition Reimbursement- Paid Time Off & Holidays
Responsibilities
As a Collection Specialist, you will...
+ Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days.
+ Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices.
+ Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections.
+ Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up.
+ Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837.
+ Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
+ Negotiate payment plans with patients in accordance with company collection policies.
+ Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
+ Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes.
+ Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing.
+ Interact with third party collection agencies.
+ Communicate consistently and professionally with other Amerita employees.
+ Work within specified deadlines and stressful situations.
+ Work overtime when necessary to meet department goals and objectives.
Qualifications
+ High School Diploma/GED or equivalent required; some college a plus
+ A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
+ Working knowledge of automated billing systems; experience with CPR+ preferred
+ Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
+ Solid Microsoft Office skills required, including Word, Excel and Outlook
+ Ability to type 40 wpm and proficiency with 10-key calculator
+ Ability to independently obtain and interpret information
+ Strong verbal and written communication skills
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .
Salary Range
USD $20.00 - $21.00 / Hour
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-CO-ENGLEWOOD
ID 2024-151454
Line of Business Amerita
Position Type Full-Time
Pay Min USD $20.00/Hr.
Pay Max USD $21.00/Hr.
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