Collections Specialist – Medical Biller

Job Description: • Submits timely, accurate invoices to payer for products and services provided • Understands the terms and fee schedule for all contracts for which invoices are submitted • Correctly determines quantities and prices for drugs billed • Verifies that the services and products are correctly authorized and that required documentation is on file • Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided • Evaluates payments received for correctness and applies payments accurately to the system • Verifies that payments received are correct according to the fee schedule • Applies the payment correctly to the patient account • Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment • Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service • Transfers payments belonging to other offices within 48 hours of receipt • Follows up on invoices submitted to ensure prompt and timely payment • Calls to verify that claims submitted were received and are in processing • Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame • Generates and mails statements and collections letters • Follows-up on all denials within 48 hours of receipt • Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule • Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality Requirements: • High School Diploma or equivalent • 0 – 6 months previous Infusion Reimbursement or Intake/Admissions experience • Basic level skill in Microsoft Excel • Basic level skill in Microsoft Word Benefits: • Medical, Dental, & Vision Insurance • Paid Time off • Bonding Time Off • 401K Retirement Savings Plan with Company Match • HSA Company Match • Flexible Spending Accounts • Tuition Reimbursement • myFlexPay • Family Support • Mental Health Services • Company Paid Life Insurance • Award/Recognition Programs