Medical Collections Specialist

12 hours ago

Englewood, Colorado, United States BrightSpring Health Services Full time
Job Summary

Amerita is seeking a highly skilled Medical Collections Specialist to join our Revenue Cycle Management (RCM) team. As a key member of our team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations.

Key Responsibilities

Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days.
Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices.
Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections.
Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up.
Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837.
Utilize the most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
Negotiate payment plans with patients in accordance with company collection policies.
Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes.
Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing.
Interact with third party collection agencies.
Communicate consistently and professionally with other Amerita employees.
Work within specified deadlines and stressful situations.
Work overtime when necessary to meet department goals and objectives.

Requirements

High School Diploma/GED or equivalent required; some college a plus
A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Working knowledge of automated billing systems; experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills required, including Word, Excel and Outlook
Ability to type 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills

About Amerita

Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit our website.

Salary Range

USD $19.00 - $21.00 / Hour

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