Collection Specialist​/Remote

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. The Collection Specialist will report to the Collection Manager and work in our Centennial, CO office. Shift: Monday–Friday 8:00 am–4:30 pm.

Amerita is an entrepreneurial‑founded company and a wholly owned subsidiary of Phar Merica. The market for home infusion is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs, and an industry shift from hospital delivery settings to lower‑cost, high‑quality alternative providers such as Amerita. Amerita, an affiliate of Bright Spring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.

Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit  Follow us on Facebook, Linked In, and X.

• Ensures daily accomplishments work towards company goals for cash collections by accurately working all assigned AR over 60 days and all denied claims within 7 days of posted denial.
• Understands and adheres 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 most 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 and trends of denials, 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, over payments 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), over payment 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.

• High School Diploma/GED or equivalent required; some college a plus.
• Minimum one (1) year experience in medical collections with 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.
• 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, walk and use hands to finger, handle or feel, occasionally stand and reach with hands and arms, lift or move up to 10 pounds and occasionally 30 pounds. Specific vision abilities required include close vision, distance vision and the ability to adjust focus. The noise level in the work environment is usually moderate.

** Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice**

USD $22.00 / Hour