RCM Collection Specialist

About the role

The Collections Specialist will work remotely from a home office with a secure network. Only candidates residing in the following states at the time of employment will be considered: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Wisconsin, Wyoming, Washington D.C.

Responsibilities

• Initiate collection follow-up of all unpaid or denied claims with the appropriate payors.
• Research, appeal, and resolve claim rejections/denials.
• Review payments to ensure the accuracy of insurance payments and patient balances.
• Facilitate drug manufacturer co-pay assistance program for patient financial assistance.
• Respond to written Payor communications as indicated with appropriate action in a timely manner.
• Communicate payment trends or insurance denials that impact revenue.
• Thorough documentation of all patient account communication using the provided practice management system.
• Correspond with patients regarding their insurance and payment responsibilities.
• Adhere to HIPPA; Maintain patient records and confidentiality via the Electronic Medical Record System.

Qualifications

• High school diploma or equivalent, required.
• 2 years of healthcare professional billing and accounts receivable experience, required.
• 2 years of infusion billing experience, preferred.
• Experience with R2 and WeInfuse programs a plus.
• Microsoft Word, Outlook, and Excel proficiency, required.
• Additional knowledge of insurance, accounting, medical billing, HIPAA, Medicare/Medicaid, medical abbreviations, and terminology, preferred.
• Excellent interpersonal and communication skills both written and verbal, required.
• Excellent attention to detail, required.
• Experience working in a remote capacity preferred.

Benefits

• Medical, Dental, Vision
• HSA with Employer Contribution
• Touchcare - Insurance Concierge Service
• 401K with Match up to 4%
• PTO: Accrual 3+ weeks
• PTO Buy-back, PTO Rollover, and PTO Donation Program
• Wellness Reimbursement Program - $360 Annually
• Employee Referral Bonus - Uncapped Bonus Potential
• Tuition Assistance Program & Professional Association Reimbursement
• Employee Assistance Program (Employer-provided)
• Short & long-term disability (Employer-provided)
• Life Insurance (Employer-provided)

Pay

Pay Range: $24.00 - $26.75
Bonus Plan Target: 5% Annually (Based on performance)

Schedule

Monday-Friday: 8:00 am - 5:00 pm

Contact

Reports to: Revenue Cycle Management

Location: The Collections Specialist will work remotely from a home office with a secure network.