This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This role involves managing accounts receivable collection processes for TDD services.

• Responsible for contract analysis, reimbursement, denial management, and appeals.
• Resolve billing-related issues with insurance companies or other responsible parties.
• Recognizes patients’ rights and responsibilities and supports them in job duties.
• Follows up on invoices to ensure prompt payment and escalates issues as necessary.
• Evaluates payments/denials for correctness and ensures proper application.
• Identifies bad debt write-offs and A/R adjustments; initiates write-offs accordingly.
• Investigates and resolves overpayments and/or duplicate payments.
• Processes refund requests in accordance with policies and procedures.
• Maintains contact with other departments for necessary patient or insurance information.
• Ensures compliance with regulatory mandates.
• Conducts collection operations in line with department protocols and regulations.
• Troubleshoots payment discrepancies and establishes resolutions.
• Documents phone calls and details consistently.
• Looks for areas to maximize claim reimbursement.
• Resolves denial issues within 5 days of receipt.
• Maintains strict confidentiality and adheres to HIPAA guidelines.
• Maintains understanding of NDC numbers, metric quantities, and infusion supplies.
• Shares knowledge with team members and works collaboratively.
• Interacts positively and respectfully with others.
• Performs other job-related duties as assigned.

Qualifications

• High school diploma or GED equivalent required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion, Intrathecal Pain Management experience preferred.
• Ability to recognize, evaluate, and exercise good judgment in complex situations.
• Excellent verbal and written communication skills.
• Strong work ethic with integrity and credibility.
• Self-directed, detail-oriented, and organized.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.

Requirements

• Ability to prioritize, negotiate, and work with various stakeholders.
• Ability to deal with problems involving multiple variables.
• Tolerant of frequent interruptions and distractions.

Benefits

• Health, vision, and dental insurance.
• Long-term disability insurance.
• Life insurance.
• Vacation package.
• 401K plan with generous employer contribution.
• 100% work from home model.

Steps to Apply

To apply for this role, you must complete a Culture Index Assessment to be considered. 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. The assessment is brief, taking less than ten minutes to complete.

portal.cultureindex.com/public/survey/general/0BFB8F0000