RCM / Collections Specialist / Medical Biller
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Job Description
Responsible for timely, accurate billing and collection as RCM Specialist for infusion services. Join the largest independent infusion provider dedicated to high-quality patient care.
Responsibilities:
- 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
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