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COLLECTIONS SPECIALIST HOME INFUSION or HEMATOLOGY/ONCOLOGY
Location:
Las Vegas, NV
Description:
The Collections Specialist is critical to our success. They are responsible for the execution and follow-up of timely claims processing. A successful candidate will have previous experience with Hone Infusion Drugs and Chemotherapy Drug billing. Candidates must possess exemplary knowledge of both local and national insurance plans, a complete understanding of both pharmacy and medical benefits. This is not an entry level position. Key Responsibilities: Using extensive experience of medical billing, medical claims processing and reimbursement skills our collector will review all negative claim decisions for accuracy and provide corrections and resubmissions expediently when possible. An in-depth knowledge of the Home Infusion, Specialty Pharmacy and Chemotherapy industry will allow our collector to assist our intake and billing departments as needed to solve claims issues and analyze possibilities they can enact to streamline processes and implement any changes that will impact reoccurring issues. The ability to learn and understand medical billing protocol and reimbursement issues. Regular review of all A/R reports required as well as complete understanding of the priority of consistency with follow up and communication with management to alert them of any possible concerns with specific insurance situations. A demonstrated ability to apply excellent verbal and written communication skills will be used daily in this position. Clear and concise delivery of information whether verbal or written is necessary to be expedient with the handling of the daily duties required. Responsibility of meeting metrics of job performance is required. Individual and team metrics are used to develop our company continually to higher levels of patient/provider satisfaction as well as meet and exceed our contractual requirements. An applied knowledge of problem-solving skills and the ability to find and implement solutions to correct a situation is required. Communication between teams to share knowledge and expertise will build a strong group focus and develop our ability to have a higher ratio of clean from the start claims. A demonstrated ability to prioritize, multitask, organize, and utilize time efficiently. The ability to self-motivate is a top requirement for this remote position. The initiative to learn and apply newly acquired skills, as well as using creative thinking to approach new solutions for complex and continuing issues is a responsibility of the position. The ability to perform duties with minimal supervision and remain on task until completion, showing a determination to succeed in obtaining a positive outcome for the A/R issue in questions is an expectation of the position. The ability and desire to work as a contributing team member is desired for all employees, thus allowing us to build a strong and focused, fully competent team in all departments . Required skills: Previous Specialty Pharmacy-Home Infusion Collections Experience High level of self-motivation and excellent time management skills required. Requires great communication skills, ability to set goals and be focused on achievement, as well as have a determined approach to all situations and be creative in assessment of issues and finding appropriate solutions. Capable to review and understand all areas of claims processing and must have a high level of ability to deal with complex claims issues. Experience with EOBs as well as all forms of insurance communication documents. Ability to complete appeals competently for successful overturn of negative decisions. Must be able to professionally communicate both verbally and through written Extensive knowledge of HCPC coding Extensive knowledge of J Codes Extensive knowledge of CPT Codes Extensive Insurance Experience interacting with Medicare, Medicaid, and Part D plans as well as commercial insurance. Environment/Work Atmosphere: All work is performed onsite remote work is not available Fast pace and busy A growing company that supports and encourages employees to pursue their passions Family oriented company Comfortable work/life balance with set hours Casual dress, jean-friendly
Company:
Med-Strategies
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: COLLECTIONS SPECIALIST HOME INFUSION or HEMATOLOGY/ONCOLOGY
COLLECTIONS SPECIALIST HOME INFUSION or HEMATOLOGY/ONCOLOGY is a Accounting & Finance Collections Specialist Job at Med-Strategies located in Las Vegas NV. Find other listings like COLLECTIONS SPECIALIST HOME INFUSION or HEMATOLOGY/ONCOLOGY by searching Oodle for Accounting & Finance Collections Specialist Jobs.
COLLECTIONS SPECIALIST HOME INFUSION or HEMATOLOGY/ONCOLOGY is a Accounting & Finance Collections Specialist Job at Med-Strategies located in Las Vegas NV. Find other listings like COLLECTIONS SPECIALIST HOME INFUSION or HEMATOLOGY/ONCOLOGY by searching Oodle for Accounting & Finance Collections Specialist Jobs.