[Hiring] Medical Collections Lead @Amerita

Role Description

Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Group Leader to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. The Collection Group Leader will report to the Collection Manager and work in our Centennial, CO office.

The Collection Group Leader will be capable of performing and monitoring all activities related to the collection of all Accounts Receivable and denials including but not limited to:

• Medicare
• Medicaid
• Commercial insurances
• Patient balances

The Collection Group Leader will:

• Be the initial resource for questions from other collectors within the department.
• Proactively work assigned accounts to maximize accurate and timely payment.
• Work closely with collectors and management to identify and share information about trends or patterns in denials and payment activity.
• Assure that the collection department maintains compliance with company policies and all applicable laws and regulations regarding billing, collections, banking, and the security of patient financial information.
• Possess exceptional internal and external customer service and communication skills and promote company culture.

Shift: Monday-Friday 8:30am-5:00pm

Responsibilities

• Ensure that daily accomplishments work towards company goals for cash collections by ensuring all AR over 60 days is accurately worked by aging teams and all denied claims are worked within 7 days of posted denial for denials team.
• Assist the process of collections through AR analysis and denial resolution.
• Assure collection department complies with established company criteria for timeliness and accuracy of billing and collections.
• Research denials and outstanding balances and take necessary collection action to resolve in a timely manner.
• Utilize most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority.
• Review insurance remittance advices for accuracy and resolve billing errors, short payments, overpayments, unpaid claims.
• Review residual account balances after payments are applied and generate necessary adjustments.
• Monitor payer websites regularly for updates and communications accordingly.
• Review and post adjustments within eligible range of $499.00 and under.
• Identify inefficient processes; make recommendations to automate or eliminate.
• Identify denial trends and patterns of short-payment, overpayment, or non-payment.
• Perform QA audits for proper management of A/R and evaluation of collector performance.
• Contact payers by telephone, mail, email, or other appropriate means to secure copies of missing remittance documents as needed.
• Monitor adherence to state and federal regulations, company policies regarding compliance, integrity, patient privacy, and ethical billing and collection practices.
• Assist in implementation of training program for Collection Specialists and Patient Collection Specialists.
• Coordinate and conduct training for all new staff.
• Assist with competency testing for all training materials.
• Interact with third-party collection agencies as needed.
• Understand and adhere to HIPAA and PHI guidelines.
• Communicate clearly and professionally, both in written form and orally, with internal and external customers.
• Be available to work extended hours when necessary to meet department deadlines.
• Perform other tasks or special projects as requested by management.

Qualifications

• High School Diploma/GED or equivalent required; some college a plus.
• A minimum of one (1) year 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.

Requirements

• This position does not have supervisory responsibilities.
• This position does not require travel.
• While performing the duties of this job, the employee is regularly required to sit and talk or hear.
• The employee is frequently required to walk and use hands to finger, handle, or feel.
• The employee is occasionally required to stand and reach with hands and arms.
• The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 30 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus.
• The noise level in the work environment is usually moderate.

Benefits

• Medical, Dental, Vision insurance
• Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
• Tuition discounts & reimbursement
• 401(k)
• Company Paid Time Off*
• Shift Differential
• DailyPay
• Pet Insurance
• Employee wellness and discount programs

Salary Range

USD $22.00 - $30.00 / Hour