Medical Collections Lead​/Remote

Medical Collections Lead / Remote Job Location s

US-CO-ENGLEWOOD

• :
• Line of Business:
  Amerita
• Position Type:
  Full-Time
• Pay Min: USD $22.00/Hr.
• Pay Max: USD $30.00/Hr.

Amerita

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.

Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of Phar Merica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.

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, and patient balances. The Collection Group Leader will be the initial resource for questions from other collectors within the department. The Collection Group Leader will proactively work assigned accounts to maximize accurate and timely payment.

The Collection Group Leader will work closely with collectors and with other management to identify and share information about trends or patterns in denials and payment activity. The Collection Group Leader will 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. Above all else qualified candidates should possess exceptional internal and external customer service and communication skills and promote company culture.

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

Benefits and perks for You!

• 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
• Daily Pay
• Pet Insurance
• Employee wellness and discount programs

As a Collection Group Leader, you will...

• Ensures 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.
• Assists the process of collections through AR analysis and denial resolution as well as assist with the receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable
• Assures collection department complies with established company criteria for timeliness and accuracy of billing and collections
• Researches denials and outstanding balances and takes necessary collection action to resolve in a timely manner; makes necessary demographic changes to patient accounts to insure future collections
• Utilizes most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority
• Reviews insurance remittance advices for accuracy. Identifies billing errors, short payments, over payments, unpaid claims, and resolves accordingly communicating any needed system changes
• Reviews residual account balances after payments are applied and generates necessary adjustments (within eligible guidelines), over payment notification, refund request, and/or secondary billing as needed
• Monitors payer websites regularly for updates and communications accordingly; makes recommendations to changes in billing procedures to insure timely payment of claims
• Review and Post adjustments within eligible range of $499.00 and under
• Identifies inefficient processes; makes recommendations to automate or eliminate
• Identifies denial trends and patterns of short-payment, over payment or non-payment and brings them to the attention of appropriate specialist
• Performs QA audits for proper management of A/R and evaluation of collector performance
• Contacts payers by telephone, mail, email or other appropriate means to secure copies of missing remittance documents as needed
• Monitors the adherence to state and federal regulations, to company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
• Assist in implementation of training program for…