Soleo Health · 1 day ago

Infusion Collection Specialist - Remote

San Francisco, CA

Full-time

Remote

Entry Level

$20/hr - $23/hr

1+ years exp

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Responsibilities

Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner

Researches assigned correspondence; takes necessary action to resolve requests

Routinely reviews and works correspondence folder requests in a timely manner

Makes routine collection calls on outstanding claims

Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly

Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified.

Researches refund requests received by payers and statuses refund according to findings

Documents detailed notes in a clear and concise fashion in Company software system

Identifies issues/trends and escalates to Manager when assistance is needed

Provides exceptional Customer Service to internal and external customers

Ensures compliance with federal, state, and local governments, third party contracts, and company policies

Must be able to communicate well with branch, management, patients and insurance carriers

Ability to perform account analysis when needed

Answering phones/taking patient calls regarding balance questions

Using portals and other electronic tools

Ensure claims are on file after initial submission

Identifies, escalates, and prepares potential payor projects to management and company Liaisons

Write detailed appeals with supporting documentation

Keep abreast of payor follow up/appeal deadlines

Submits secondary claims

Qualification

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Collections experienceHome Infusion experienceSpecialty Pharmacy experienceHCPC coding knowledgeMedical terminology knowledgeCPR+ systems experienceMath skillsWord experienceExcel experienceOutlook experience