RCM Collection Specialist

Job Description

REQUIREMENTS

• High school diploma or equivalent, required.
• 2 year of healthcare professional billing and accounts receivable experience, required.
• 2 year Infusion billing experience, preferred.
• Experience with R2 and WeInfuse programs a plus.
• Microsoft Word, Outlook, and Excel proficiency, required.
• Additional knowledge of insurance, accounting, medical billing, HIPAA, Medicare/Medicaid, medical abbreviations, and terminology, preferred.
• Excellent interpersonal and communication skills both written and verbal, required.
• Excellent attention to detail, required.
• Experience working in a remote capacity preferred. 

RESPONSIBILITIES

• Initiate collection follow-up of all unpaid or denied claims with the appropriate payors.
• Research, appeal, and resolve claim rejections/denials.
• Review payments to ensure the accuracy of insurance payments and patient balances.
• Facilitate drug manufacturer co-pay assistance program for patient financial assistance.
• Respond to written Payor communications as indicated with appropriate action in a timely manner.
• Communicate payment trends or insurance denials that impact revenue.
• Thorough documentation of all patient account communication using the provided practice management system.
• Correspond with patients regarding their insurance and payment responsibilities.
• Adhere to HIPPA; Maintain patient records and confidentiality via the Electronic Medical Record System.

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