Collection Specialist

Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work remotely in the USA. Join us in simplifying complex care.

About Us

Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our employees are our greatest asset, and we are dedicated to attracting and retaining the best talent.

• Improve patients’ lives every day
• Be passionate in everything you do
• Encourage unlimited ideas and creative thinking
• Make decisions as if you own the company
• Do the right thing
• Have fun!

About the Role

The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment.

Responsibilities

• Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
• Researches assigned correspondence; takes necessary action to resolve requests
• Routinely reviews and works correspondence folder requests in a timely manner
• Makes routine collection calls on outstanding claims
• Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
• Identifies potential risk, write offs and statuses appropriately; reports and escalates to management as identified
• Researches refund requests received by payers and statuses refund according to findings
• Documents detailed notes in a clear and concise fashion in Company software system
• Identifies issues/trends and escalates to Manager when assistance is needed
• Provides exceptional Customer Service to internal and external customers
• Ensures compliance with federal, state, and local governments, third party contracts, and company policies
• Communicates well with branch, management, patients and insurance carriers
• Performs account analysis when needed
• Answers phones/takes patient calls regarding balance questions
• Uses portals and other electronic tools
• Ensures claims are on file after initial submission
• Identifies, escalates, and prepares potential payor projects to management and company liaisons
• Writes detailed appeals with supporting documentation
• Keeps abreast of payor follow up/appeal deadlines
• Submits secondary claims

Requirements

• Previous Home Infusion and Acute/Specialty Infusion Pharmacy experience required
• High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
• 1-3 years or more of strong collections experience
• Knowledge of HCPC coding and medical terminology
• CPR+ and Waystar systems experience preferred
• Excellent math and writing skills
• Excellent interpersonal, communication and organizational skills
• Ability to prioritize, problem solve and multitask
• Proficiency in Word, Excel and Outlook

Benefits

• Competitive wages ($21-$24 per hour)
• Flexible schedules
• 401(k) with a match
• Referral Bonus
• Annual merit-based increases
• No weekends or holidays
• Affordable medical, dental, and vision insurance plans
• Company-paid disability and basic life insurance
• HSA and FSA (including dependent care) options
• Paid Time Off
• Education Assistance Program

Schedule

Full time, Monday-Friday 9am-5:30pm, standard business hours (40 hours per week).