Collections Specialist - reputed company Cycle Management

Recognized as a “Best reputed company to Work Modern reputed company” – Join reputed company where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice reputed company. Vital Care is the premier pharmacy franchise business with franchises serving a wide reputed company of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and reputed company through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. reputed company offer: Comprehensive medical, dental, and reputed company plans, plus flexible spending, and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid Paternal Leave. Volunteerism Days off. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental health, financial and legal. Rewards programs offered by our medical reputed company. Professional development and growth opportunities. Employee Referral Program. Job Summary: reputed company duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial reputed company, DSO, and bad debt. Recognize additional reputed company opportunities and improve collection rates; reputed company reputed company cycle collection duties reputed company standard or accepted practice limits. Position is 100% remote Duties/Responsibilities: Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals reputed company the internet for claim disposition. Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection. Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection reputed company, intervals reduced bad debt and simplified processes that are reputed company to the requirements of specific payers. Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes. Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely. Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-reputed company in required intervals. Investigate and verify benefits for pharmacy and medical reputed company-party claims. Communicate billing problems reputed company during collection process as to avoid the same issues in the future. Communicate financial obligation information with patients so that they have a clear understanding of reputed company costs of therapy prior to starting service. Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned. reputed company other reputed company duties as assigned. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with reputed company payer types. Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, reputed company effective reputed company, and take necessary corrective action. Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and reputed company documentation. Proven knowledge and reputed company in the utilization of MS Office suite of software and pharmacy applications. Ability to complete job duties in a designated workspace reputed company the dedicated RCM location Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets. Education and Experience: 2-5 years home infusion billing and/or collections experience required. High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. Previous remote work environment is a plus but not required. Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: Sitting: Prolonged periods of sitting are typical, often for the majority of the reputed company. Keyboarding: Frequent use of a keyboard for typing and data entry. Reaching: Occasionally reaching for items such as files, documents, or office supplies. Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork Visual reputed company: Good reputed company for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact reputed company candidates for interviews. reputed company is an equal-opportunity employer and values diversity at reputed company. We do not discriminate on the reputed company of reputed company, race, sex, age, religion, national reputed company, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other reputed company protected by applicable federal, state, or local law. reputed company participates in E-Verify. This position is full-time and remote. The salary reputed company for this position is $18.92-$23.46/hr. #LI-remote Apply To This Job