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AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.
AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work from home model.
Please apply to our fulltime remote insurance collection specialist role if you have:
· Over 3 years of Insurance Collection Experience
· A high school diploma or general education degree (GED) equivalent
· The ability to write appeal letters specific to denial resolution
· Experience with maintaining daily productivity expectations
· Experience reading payor clinical policies to determine coverage
· Knowledge of contracts and fee schedules
· Problem solving skills related to denial research and appropriate steps for resolution
· Used Microsoft Office, including Outlook, Word, and Excel
· An in-depth knowledge of collection practices, work in compliance with Federal and State rules, regulations, and policy related to billing and collection activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality.
- Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary.
- Evaluates payments/denials received for correctness and ensures they are applied accordingly.
- Identifies bad debt write-offs and A/R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures.
- Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly.
- Processes refund requests, in accordance with policies and procedures.
- Maintains contact with other departments to obtain patient or insurance information needed for claim payment.
- Verifies billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted.
- Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis.
- Consistently looks for areas to maximize claim reimbursement.
- Resolves issues that created a denial within 5 days of receipt of denial.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Preferred knowledge of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
- Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
- Shares knowledge gained with other staff members and works as a team member.
- Interacts with others in a positive, respectful, and considerate manner.
- Performs other job-related duties as assigned.
Steps to Apply:
To apply for this role, you must complete a Culture Index Assessment to be considered. Please note that your application will not be considered if the Assessment is not completed.
Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete.
portal.cultureindex.com/public/survey/general/0BFB8F0000
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