What are the responsibilities and job description for the Collection Specialist position at Amerita, Inc.?
Overview
Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a 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 Collection 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. We will help you achieve your goals through continuous professional development and regular career progression discussions.
Responsibilities
As a Collection Specialist, you will...
- 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 mose 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.
Qualifications
- 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
