Experienced Medical Insurance Collection Specialist

About the role

AIS Healthcare is seeking an experienced and motivated Accounts Receivable Collection expert to join their dynamic team. This full-time position is responsible for managing billing and collection processes for TDD services, including contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties.

Responsibilities

• Evaluates payments/denials received for correctness and ensures they are applied accordingly.
• Identifies bad debt write-offs and A/R adjustments.
• Initiates write-offs and adjustments 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.
• Responsible for understanding all procedures within regulatory mandates.
• Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements.
• Makes calls to troubleshoot payment discrepancies and establish resolution.
• Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis.
• Consistently looks for areas to maximize claim reimbursement.
• Resolves issues that created a denial within 5 days of receipt of denial.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
• Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
• Shares knowledge gained with other staff members and works as a team member.
• Interacts with others in a positive, respectful, and considerate manner.

Qualifications

• A high school diploma or general education degree (GED) equivalent is required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion, Intrathecal Pain Management experience preferred.

Benefits

AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer contribution. Additionally, we offer a 100% work from home model.

Pay

The pay for this role is competitive and commensurate with experience.

Schedule

This is a full-time position with a flexible work schedule to accommodate remote work.

Education and Experience

AIS Healthcare is looking for candidates with a high school diploma or GED equivalent, and 3-5 years of healthcare industry experience, including 3-5 years of medical billing and collections experience. Home Infusion, Intrathecal Pain Management experience is preferred.

Steps to Apply

To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed. Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.)

Culture Index Assessment Link