Overview Amerita, Inc. is a leading provider in Home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. As a core member of the Collection team, you will be responsible for a broad range of collection processes related to medical account receivable in support of a single or multiple site locations. The Collection Specialist will report to the Collection Manager and work remotely from home within the Continental USA. • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts • Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance • 401(k) Retirement Plan with Employer Match • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability • Employee Discounts • Tuition Reimbursement • Paid Time Off & Holidays Responsibilities As a Collection Specialist, you will... • Ensure daily accomplishments work towards company goals for cash collections and Account Receivable over 90 days. • Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices. • Research outstanding balances and take necessary collection action to resolve in a timely manner; recommend necessary demographic changes to patient accounts to ensure future collections. • Research assigned correspondence; take necessary action to resolve requested information in a timely manner; establish appropriate follow up. • Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837. • Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. • Negotiate payment plans with patients in accordance with company collection policies. • Identify patterns of short-payment or non-payment and bring them to the attention of appropriate supervisory personnel. • Review insurance remittance advices for accuracy. Identify billing errors, short-payments, overpayments and unpaid claims and resolve accordingly, communicating any needed system changes. • Review residual account balances after payments are applied and generate necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing. • Interact with third party collection agencies. • Communicate consistently and professionally with other Amerita employees. • Work within specified deadlines and stressful situations. • Work overtime when necessary to meet department goals and objectives. Qualifications • High School Diploma/GED or equivalent required; some college a plus • A minimum of one (1) year of experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus • Working knowledge of automated billing systems; experience with CPR+ preferred • Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding • Solid Microsoft Office skills required, including Word, Excel and Outlook • Ability to type 40 wpm and proficiency with 10-key calculator • Ability to independently obtain and interpret information • Strong verbal and written communication skills Apply tot his job