Infusion Insurance Collection Specialist - Hybrid

Advanced Infusion Care specializes in intravenous (IV) and subcutaneous (Sub Q) immunoglobulin therapy patient care.  We are looking for an experienced and motivated Accounts Receivable Medical Collection expert to join our dynamic team!  This role is a full-time position responsible for collection processes for our IG division requiring 1 day in office per week with the rest of week as remote work from home. 

The perfect candidate should have outstanding communication skills, an in-depth knowledge of collection practices, work in compliance with Federal and State rules, regulations, and policy related to billing and collection activities.  The ideal candidate should also understand contract analysis, reimbursement, denial management and appeal process.  CPR experience is a Plus.

We offer great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, 401K plan with a generous employer match, hybrid office/ Remote work from home opportunity, growth, and more!

JOB SUMMARY:

This position is responsible for collecting payments from the insurance companies, patients or other responsible party for medical services rendered.   This position will assist in sending out patient statements, manufacturers assistance plans, printing claims and opening mail on in office day.  This position is for also for medical  collector that can work receivables for multiple payor types and reach out to patient’s regarding their balances. This is a hybrid position requiring one day of work per week in our Dallas location, other days are remote from home.

EDUCATION AND EXPERIENCE:

·         A high school diploma or general education degree (GED) equivalent is required; bachelor’s degree preferred.

·         1-3 years of healthcare industry experience required.

·         1-3 years of medical billing and collections experience required.

·         Home Infusion, IG experience preferred.  

ESSENTIAL DUTIES AND RESPONSIBILITIES:

·         Recognizes patients’ rights and responsibilities and supports them in the performance of job duties; respects patient’s rights to privacy and confidentiality.

• Verifies billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted.
• Makes calls to troubleshoot payment discrepancies and establish resolution on aged receivables
• Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis. (Who, What, When, Where & Why)
• Consistently maximums reimbursement of claims.
• Resolves issues that created a denial within 5 days of receipt of denial.
• Collector makes good judgment calls regarding adjustment and refunds.

·         Maintains a thorough 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.

·         Performs other job related duties as assigned.

QUALIFICATION REQUIREMENTS:

·         Knowledge of medical insurance collections.

·         Ability to communicate effectively and professionally with patients, visitors, physicians, and coworkers.

·         Ability to make decisions, solve problems, and work independently with little supervision.

·         Demonstrate extreme attention to detail and accuracy.

·         Ability to prioritize and meet deadlines.

·         Basic computer proficiency.

·         Knowledge in the use of Microsoft applications.  Excel and Word 

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.) The assessment is brief, taking less than ten minutes to complete.

portal.cultureindex.com/public/survey/general/0BFB8F0000

AIS HealthCare™ is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes.

We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.