Job Posting for Home Infusion Accounts Receivable Specialist at Kennebec Pharmacy HomeCare
Come and join our fantastic Revenue Cycle Team!
POSITION SUMMARY:
The Infusion A/R Specialist contacts payers for medical claims status, follow-up denials, or partial payments.
ESSENTIAL FUNCTIONS:
Contacts payers for medical claims status, follow-up denials, or partial payments
Obtains payer requirements for timely adjudication of claims
Files claims with appropriate documentation attached
Pursues, maintains, and communicates medical coverage/guideline changes/updates
Processes all incoming and outgoing correspondence as assigned
Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company
Helps facilitate interoffice communication on error and denial trends
Initiates the review/appeals process on disputed claims
Research credit balances and initiates refunds as required
Manages Bill Review and Ready to Bill Ques
Helps facilitate interoffice communication on error and denial trends
Documents all activity in customer's computer account
Answers Accounts Receivable phone inquiries
Works assigned reports
Available to assist others with questions or collection needs
Manages Recurring Rental Files
Works Waystar Rejections and edits
Ensure claims have appropriate codes, modifiers and charged amounts
Validates correct coding initiatives
Acts as liaison between staff and management
All other duties as assigned
Manages complete account and host meetings w/ front end to determine root cause, process improvements
Runs and maintains weekly and monthly reporting
Manages self pay adjudication, payment plans, ensures cards on file are current and accurate
Provides education to front end and KPHC employees
Keeps up to date with industry standards, payer policies and prevents denials
Works on monitoring compliance with payer contracts
OTHER RESPONSIBILITIES:
Provide excellent customer service while taking inbound calls and assisting patients with requests and billing questions
Maintains professional appearance and conduct at all times.
Uses PTO appropriately
EDUCATION, EXPERIENCE, AND SKILLS REQUIRED:
High School Diploma or General Education Degree (GED) required
Past performance shows solid evidence of insurance qualifications and guidelines
Knowledge of telephone etiquette and adequate oral and written communication skills
Shows effective multitasking skills
Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
Knowledge of medical field preferred
SUPERVISORY RESPONSIBILITIES:
None assigned
PHYSICAL AND ENVIRONMENTAL REQUIREMENTS:
Standard office setting with minimal noise levels.
Benefits
We offer competitive pay and generous paid time off along with:
Health Insurance
Dental
Vision
Life Insurance
Long- and Short-term disability
Retirement plan with match after 1 year of employment
Free SAMS club membership
Salary.com Estimation for Home Infusion Accounts Receivable Specialist in Augusta, ME
$42,412 to $52,962
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