Medical Accounts Receivable Specialist - Home Infusion

Duties and Responsibilities

• Possess complete understanding of the billing/collection process to resolve outstanding claims.
• Follow-up on Accounts Receivable/Insurance Aging for claims aged past 45 days.
• Research and resolve accounts appearing on Delinquent Insurance report and Collection Ledger.
• Read and interpret Insurance Explanation of Benefits for proper adjustment and patient balances.
• Handle submission of corrected claims and any claims rejected by assigned insurance payers.
• Dispute and/or appeal denied claims with frequent follow up with payers and/or patients on outstanding accounts.
• Escalate complex claims issues and/or trends directly to the Billing Director.

Skills/ Requirements

• Customer service experience a plus, particularly in a healthcare related field
• Proficient in Microsoft Office products (e.g. Word, Excel)
• Experience handling EOB’s and ERA’s
• Detail oriented with the ability to prioritize, organize, trouble-shoot, and problem solve.
• Demonstrates initiative, ability to work independently and in a team setting.

Education and Experience

• Bachelor’s degree or equivalent work experience
• Minimum of 2 years of medical billing experience required

Work Schedule

• Full-time, In person work.