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Role Description

AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes:

• Contract analysis
• Reimbursement
• Denial management
• Appeals
• Resolving billing-related issues with insurance companies or other responsible parties for services rendered

The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities.

Essential duties and responsibilities include:

• Recognizing patients’ rights and responsibilities and supporting them in the performance of job duties
• Following up on invoices submitted to ensure prompt and timely payment
• Evaluating payments/denials received for correctness and ensuring they are applied accordingly
• Identifying bad debt write-offs and A/R adjustments
• Identifying any overpayments and/or duplicate payments and investigating and resolving accordingly
• Processing refund requests in accordance with policies and procedures
• Maintaining contact with other departments to obtain patient or insurance information needed for claim payment
• Understanding all procedures within regulatory mandates
• Ensuring that the activities of the collection operations are conducted in a manner consistent with overall department protocol
• Making calls to troubleshoot payment discrepancies and establish resolution
• Documenting, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis
• Consistently looking for areas to maximize claim reimbursement
• Resolving issues that created a denial within 5 days of receipt of denial
• Maintaining strictest confidentiality; adhering to all HIPAA guidelines/regulations
• Maintaining understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies
• Maintaining a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes
• Sharing knowledge gained with other staff members and working as a team member
• Interacting with others in a positive, respectful, and considerate manner
• Performing other job-related duties as assigned

Qualifications

• A high school diploma or general education degree (GED) equivalent is 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

Requirements

• Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations
• Excellent verbal and written communication and relationship building skills
• Strong work ethic with personal qualities of integrity and credibility
• Self-directed, detail oriented, conscientious, organized, and able to follow through
• Ability to deal in an organized manner with problems involving multiple variables within the scope of the position
• Tolerant of frequent interruptions and distractions from staff and other internal support teams
• Proficient in Microsoft Office, including Outlook, Word, and Excel

Benefits

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

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