Our CompanyAmerita OverviewAmerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work in our Centennial, CO office. Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. We will help you achieve your goals through continuous professional development and regular career progression discussions. IMPORTANT: Must have 1 year or more of Medical Collections background to be considered for this role. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. We will help you achieve your goals through continuous professional development and regular career progression discussions. High-quality, affordable benefits for all Full-time and Part-time Employees Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance 401(k) Retirement Plan with Employer Match Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability Employee Discounts Tuition Reimbursement Paid Time Off & Holidays ResponsibilitiesAs a Collection Specialist, you will
Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days.
Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices.
Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections.
Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up.
Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837.
Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
Negotiate payment plans with patients in accordance with company collection policies.
Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel.
Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes.
Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing.
Interact with third party collection agencies.
Communicate consistently and professionally with other Amerita employees.
Work within specified deadlines and stressful situations.
Work overtime when necessary to meet department goals and objectives.
Qualifications
High School Diploma/GED or equivalent required; some college a plus
A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Working knowledge of automated billing systems; experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills required, including Word, Excel and Outlook
Ability to type 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
About our Line of BusinessAmerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .Salary RangeUSD $21.00 / HourALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job LocationsUS-CO-ENGLEWOODID 2024-144180 Line of Business Amerita Position Type Full-Time Pay Min USD $21.00/Hr. Pay Max USD $21.00/Hr.