Collections Specialist
CarepathRx
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Manage third-party billing and collections
- Ensure timely and accurate payment of claims
- Process payer appeals
- Investigate denials and process rejections
- Identify root causes of payment issues
- Resolve discrepancies and maximize reimbursement
- Document all collections activity in patient collections notes
- Process all Payer appeal requests within the time frame required by the Payer
Requirements
- High school graduate or equivalent
- Excellent interpersonal, organizational, communication and effective problem-solving skills
- Knowledge of home infusion, medical billing practices, payer reimbursement guidelines
- Experience with ICD-10, CPT-4, HCPCS, and Medicare billing preferred
- Ability to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division
- Collections or medical billing experience with basic understanding of ICD10, CPT4, HCPCS, and medical terminology preferred
- Familiarity with third party payor guidelines and reimbursement practices
- Knowledge of Microsoft 365 products including Outlook, Teams and Excel
Benefits
- Comprehensive benefit package for full-time employees includes medical/dental/vision
- Flexible spending
- Company-paid life insurance and short-term disability
- Voluntary benefits
- 401(k)
- Paid Time Off
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10CPT-4HCPCSmedical billingpayer reimbursementmathematical calculations
Soft skills
interpersonal skillsorganizational skillscommunication skillsproblem-solving skills