RCM Collections Specialist
InfuSystem
full-time
Posted on:
Location Type: Hybrid
Location: Rochester Hills • Missouri • United States
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About the role
- Monitor accounts receivable agings to ensure timely resolution of claims
- Ability to identify and report any trends causing future potential denials
- Ensure payment accuracy
- Must be able to interpret payer explanation of benefits (EOBs)
- Review payer denials, analyze accounts, and determine the next appropriate steps to achieve payment success
- This will include payer portal review and phone calls to payers
- Successful candidates will have the ability to clearly and concisely communicate the issues that they are seeing and request payer representatives to assist with resolution
- Conduct insurance reverification as needed through various eligibility tools
- Research, write, and submit appeals as appropriate
- Process third party payer correspondence, refunds, and adjustments
- Accurately and thoroughly document the pertinent collections activities in appropriate systems
- Respond to all patient inquiries timely
- Remain up to date on payer medical policy notices and changes
- Share information and ideas for process improvements with team
- Comply with all work instructions, policies, and behavioral expectations
Requirements
- Associate Degree or equivalent preferred; minimum two years related experience; or equivalent combination of education and experience
- Organizational skills
- Good troubleshooting skills
- Strong attention to detail
- Proficient with Word, Excel, Outlook
- Operate Express/HDMS/Waystar proficiently
- Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all Commercial managed-care plans
- Ability to handle inquiries and respond via telephone or in writing
- Ability to explain and resolve collections-related questions/issues to patients, sales representatives, and facilities
- Proper use of ICD-10, CPT, and HCPCS codes
- Ability to independently meet tight deadlines in a project-based atmosphere
Benefits
- Health, Dental, Vision
- Life Insurance, STD & LTD
- 401(k) with a specified Company Match
- Employee Stock Purchase Program
- Tuition Assistance
- Generous Paid Time Off plan
- Paid Parental Leave
- Employee Assistance Program
- Competitive Pay
- Direct Deposit
- Employee Referral Bonus
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
accounts receivablepayer explanation of benefits (EOBs)insurance reverificationICD-10CPTHCPCS codestroubleshootingpayment accuracyclaims resolutionappeals writing
Soft Skills
organizational skillsattention to detailcommunicationproblem-solvingindependenceprocess improvementtimelinessanalytical skillsteam collaborationcustomer service