Requisition: 2024-140883
COLLECTION SPECIALIST- INFUSION PHARMACY
Job Locations
US-CO-ENGLEWOOD
ID
2024-140883
Line of Business
Amerita
Position Type
Full-Time
Pay Min
USD $20.00/Hr.
Pay Max
USD $21.00/Hr.
Our Company
Amerita
Overview
Amerita, Inc. is a leading provider in home Infusion therapy. 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.
The Collection Specialist will report to the Collection Manager and work in
our Centennial, CO office.
Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of
PharMerica. The home infusion market is positioned for rapid growth driven by
the aging population, increase in chronic diseases, robust pipeline of
infusible drugs coming to market, and an industry shift from hospital
delivery settings to lower-cost, high-quality alternative providers such as
Ame
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. We will help you achieve your goals
through continuous professional development and regular career progression
discussions.
* High-quality, affordable benefits for all Full-time and Part-time Employees
* 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
*Position will be posted for a minimum of 7 business days
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... For full info follow application link.