Infusion Collector

Are you passionate about medical collections? If so, then HealthQuest wants you.

HealthQuest Infusion and Specialty is looking for a dynamic and experienced Infusion Collector who can effectively and consistently generate revenue through professional, proper and ethical collection efforts.

**Qualifications**

Advanced knowledge of medical terminology

Experience Submitting NDCs on CMS-1500 forms

Must have infusion collections experience

Advanced knowledge of HCPCS, ICD-10, and NDC coding

Knowledge of electronic billing

Experience with working on open claims in Change, Availity, CareTend, and Online Insurance Portals

Experience dealing with insurance rejections, reconciliations, and high dollar patient accounts

Excellent calculation/math skills. Converting vials to units

Ability to understand insurance contracts for billing purposes

Ability to prioritize and handle multiple tasks and projects concurrently

Strong interpersonal and communication skills and the ability to work effectively with branch departments

Demonstrated knowledge and proficiency in the principles, procedures, and best practices related to this position

Proficient level of software proficiency in using PC software to support activities, especially Microsoft Office, Excel, Teams, Word, and WhatsApp

The ability to work with confidential material and maintain confidentiality is required along with sensitivity to employees and customers needs and data while adhering to HIPAA compliance

**Responsibilities**
- Processing denials and secondaries promptly, including claim reconsiderations and case openings.
- Submitting appropriate documentation for adjustments to supervisor
- Working on aging accounts daily to strive for all outstanding claims being paid within 90 days
- Aggressively working to ensure prompt payments for claims older than 90 days
- Performing successful medical insurance, CMS, and PBM audits with positive outcomes
- Assisting month-end closings as scheduled, to assure timeliness
- Working collaboratively with other departments, including intake, nursing, and billing, to improve timely reimbursement process and results
- Adhering to those performance programs, policies, procedures, guidelines, and internal control standards established to guide the operation of the company
- Identifying outstanding accounts receivable, including hospital LOA's, Single Case Agreements with insurance companies, house accounts, and inner company invoices
- Being proactive in contacting house and patient accounts to encourage timely payments as well as setting up patient payment plans
- Processing credit card payments and refunds
- Resolving billing issues with payors
- Submitting requested information from payors through their portal to ensure prompt payments of outstanding claims
- Resolving customer credit issues
- Processing all medical records requests in a timely manner
- Preparing and presenting reports on collection activities and progress of unpaid claims in monthly A/R meeting with management
- Notifying the supervisor of problem accounts
- Performing other duties as assigned

Pay: $21.00 - $26.00 per hour

**Benefits**:

- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

**Experience**:

- Collection & AR Follow-up: 2 years (required)
- ICD coding: 2 years (required)
- Infusion collections: 2 years (required)

Work Location: In person