Collections Agent ( Infusion Pharmacy)

Essential Responsibilities:

Strong knowledge of Medicare, Medicaid, and Commercial payors.
Analyzing and researching claims denials and underpayments.
Processing claims corrections, claim reconsiderations, and ability to complete appeals competently for successful overturn of negative decisions.
Performs follow up activities on outstanding claims per AR reports to ensure minimal accounts over 90 days delinquency.
Process all Secondary Medical Claims, Copay Assistance Claims, and Pharmacy Benefits Manager (PBM) claims.
Provide insurance payors with detailed itemization of claims requests and medical records requests to ensure timely reimbursements.
Evaluate, analyze, and monitor the processing of patient accounts, to include sending monthly statements, setting up payment plans, collecting patient payments, reporting delinquent accounts to collections company.
Experience with Explanations Of Benefits (EOB’s) as well as all forms of insurance communication documents
Electronically download EOB’s from Availity Portal, Insurance Portals, and Change Healthcare Portal
Submit appropriate documentation for account adjustments to direct supervisor.
Qualifications

Good communication and organizational skills
High degree of attention to detail and problem-solving capabilities
Analytical ability to prepare reports, work with Excel spreadsheets, AR reports.
Good written and verbal communication skills
Data entry and typing
Office administration such as electronically faxing, scanning, answering phones, customer service, written documentation of phone calls in EMR, Computer literate with knowledge of billing processes, electronically uploading information in online insurance portals.
Must demonstrate an exceptional maturity, willingness to maintain harmonious working environment.
Previous billing experience a plus but not required.
2 years’ experience with Infusion Care Collections preferred.
Proficiency in any of the following languages is encouraged, but not required:

Spanish

Arabic

French

Vietnamese

Hindi

Gujarati

Urdu

Job Type: Full-time

Salary $600-1000+/mo

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Physical setting:

8 hour shift
Monday to Friday

High school or equivalent (Preferred)
Experience:

Accounts receivable: 2 years (Preferred)
Health insurance verification: 2 years (Preferred)
Infusion & specialty collections: 2 years (Preferred)
Medical billing & coding: 2 years (Preferred)
License/Certification:

Medical Billing Certification (Preferred)

*To save us both time, please attach CV/Resume when inquiring.