• Patient Collection Specialist

    Job Locations US-CO-Centennial
    Job ID
    2018-1571
    # of Openings
    1
    Category
    Administrative/Clerical
  • Overview

    Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Patient Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work in our Centennial, CO office. 

     

    Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.

     

    As a core member of the Patient Collection Specialist team, you will be responsible for a broad range of collection processes related to medical accounts receivable in support of single or multiple site locations.  The employee will proactively work self pay accounts to maximize accurate and timely payment. The employee will observe company policies and all applicable laws and regulations regarding the collection of medical claims and patient balances.  The employee must have the ability to prioritize, problem solve, and multi task.  The employee will work closely with other staff to identify, resolve, and share information regarding patient pay accounts. Above all, qualified candidates should possess exceptional internal and external customer service skills and actively promote Amerita’s company culture. We will help you achieve your goals through continuous professional development and regular career progression.

    Responsibilities

    • Insures daily accomplishments work towards company goals for cash collections and A/R over 90 days
    • Understands and adheres to state and federal regulations, and to company policies regarding to compliance, integrity, patient privacy and ethical billing and collection practices
    • Understands and adheres to HIPAA and PHI guidelines
    • Generates patient invoices and collects self pay patient balances prior to shipment/delivery
    • Coordinates delivery of monthly patient statements/letters
    • Researches outstanding patient balances and takes necessary collection action to resolve in a timely manner; makes necessary demographic changes to patient accounts to insure future collections
    • Utilizes most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority
    • Negotiates payment plans with patients in accordance with company collection policies
    • Identifies patterns of short-payment or non-payment and brings them to the attention of appropriate supervisory personnel
    • Ability to accurately translate and communicate insurance remittance advices with patients as needed. Identifies billing errors, short payments, over payments, unpaid claims, and communicates with the appropriate reimbursement staff
    • Handles all incoming patient balance phone calls to include disputes. Engages supervisor/management help when needed to bring quick resolution to outstanding concerns
    • Reviews residual account balances after payments are applied and generates necessary adjustments (within eligible guidelines); completes refund requests promptly
    • Interacts with third party collection agencies as needed
    • Communicates consistently and professionally with other Amerita employees
    • Works within specified deadlines and stressful situations
    • Works overtime when necessary to meet department goals and objectives
    • Performs other tasks or special projects as requested by management

    Qualifications

    • High School diploma or GED equivalent required
    • Some college a plus
    • A minimum of 1-2 years 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: Word, Excel and Outlook
    • Ability to type 40 wpm and proficiency with10-key calculator
    • Ability to operate credit card based transaction system and receive payments thru corporate banking systems.
    • Ability to independently obtain and interpret information
    • Strong verbal and written communication skills

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