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Vital Care Infusion Services
Pittsburg, PA | Full Time
$40k-50k (estimate)
3 Days Ago
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Pittsburg, PA | Full Time
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Collections Specialist
$40k-50k (estimate)
Full Time 3 Days Ago
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Vital Care Infusion Services is Hiring a Collections Specialist Near Pittsburg, PA

Job Summary:
Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits.
The position is 100% remote.
Duties/Responsibilities:
· Review claims with outstanding balances and identify actions to collect revenues successfully. Follow up with insurers and patients to collect outstanding balances in an environment that builds enduring customer and business relationships. Utilize Payer Portals via the Internet for claim disposition.
· Review documents received, including Explanations of Benefits (EOBs), Remittance advice (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection.
· Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt, and simplified processes responsive to specific payers' requirements.
· Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes.
· Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely.
· Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues. Schedule follow-ups in required intervals.
· Investigate and verify benefits for pharmacy and medical third-party claims.
· Communicate billing problems found during the collection process to avoid the same issues in the future.
· Communicate financial obligation information with patients so that they clearly understand all costs of therapy before starting service.
· Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with processing online adjudication of collection issues and nurse billing as assigned.
· Perform other related duties as assigned.
Required Skills/Abilities:
  • Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts.
  • Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
  • Proven ability to identify gaps and problems from the documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action.
  • Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
  • Proven knowledge and skill in utilizing the MS Office suite of software and pharmacy applications.
  • Ability to complete job duties in a designated workspace outside the dedicated RCM location.
  • Disciplined work ethic with the ability to work remotely with minimum direct supervision to effectively meet production and collection targets.
Education and Experience:
  • 2-5 years of home infusion billing and/or collections experience required.
  • High School Diploma and additional specialized intake, pharmacy/medical billing, and/or collections training.
  • 2 years minimum experience in home infusion therapy is required.
  • Previous remote work environment is a plus but not required.
  • Detailed oriented with post-billing and post-payment investigative experience preferred.
Vital Care Infusion Services is an Equal Opportunity Employer.

Job Summary

JOB TYPE

Full Time

SALARY

$40k-50k (estimate)

POST DATE

05/19/2024

EXPIRATION DATE

07/18/2024

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The job skills required for Collections Specialist include Billing, Communication Skills, Computer Systems, Communicates Effectively, Work Ethic, Listening, etc. Having related job skills and expertise will give you an advantage when applying to be a Collections Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Collections Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Collections Specialist positions, which can be used as a reference in future career path planning. As a Collections Specialist, it can be promoted into senior positions as a Collections Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Collections Specialist. You can explore the career advancement for a Collections Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Collections Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Collections Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Collections Specialist job description and responsibilities

Collections Specialists are generally responsible for managing and collection all the outstanding accounts receivables form clients and customers.

02/26/2022: New York, NY

Collections specialists are responsible for managing overdue accounts for an organization.

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They prepare official receipts and coordinate with account payable specialists from other companies with pending payables.

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remind the clients for the overdue payment

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Contact clients for overdue outstanding payment

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Collections Specialist jobs

Build an optimized Collections Specialist resume quickly and easily using administrative skills.

02/02/2022: Omaha, NE

Collections specialists must be able to approach each conversation as a fresh start without carrying over any emotions from previous calls.

02/04/2022: Idaho Falls, ID

These more advanced collection specialists must know, understand, and follow federal guidelines for these actions.

02/03/2022: Elkhart, IN

Learn excellent knowledge of billing procedure

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Relevant work experience as a Collections Specialist are prefered

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Step 3: View the best colleges and universities for Collections Specialist.

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