Collections Specialist

Apply for the Collections Specialist role at Bio Matrix Infusion Pharmacy
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Bio Matrix is a nationwide, independently‑owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often‑challenging healthcare environment, treating them like family and getting therapy started quickly. We work closely with patients, their families, and healthcare providers throughout the journey, staying focused on optimal clinical outcomes. Our commitment to Inclusion, Diversity, Equity, & Access (IDEA) means cultivating a welcoming space where everyone’s contributions are acknowledged and celebrated.

$26.00/hr – $28.00/hr

The collections specialist is responsible for claims submission follow‑up to ensure correct and timely payment, achieving the goal of low delinquent payer balances for all therapy types. The role manages collections and reimbursement for payors, monitors activity, and implements corrective actions for deficiencies, denials, and unpaid balances. It ensures compliance with all legal and regulatory requirements while resolving customer inquiries professionally and efficiently.

• GED or high school diploma required
• Minimum of three (3) years of working experience in collection related activities
• Experience providing customer service to internal and external customers, meeting quality standards and evaluating satisfaction
• Basic level skill in Microsoft Office (Word, Excel, PowerPoint, etc.)

• Minimum of five (5) years of experience in collection related activities
• Previous home infusion therapy billing experience

• Follow up on insurance claims to ensure timely payment.
• Work with insurance companies to resolve denials or short payments.
• Communicate effectively with internal teams to ensure smooth operations.
• Understand correct vs incorrect billing and payer contracts.
• Know the different types of home infusion medications and therapies.
• Manage insurance verification and reimbursement processes.
• Address customer inquiries and resolve billing discrepancies, providing excellent service to internal and external stakeholders.
• Stay updated on billing regulations, coding guidelines, and payer requirements to ensure compliance.
• Familiarity with clearinghouses and billing functionality.
• Assist with data entry, administrative, and clerical tasks.

• Stay abreast of payer alerts and reimbursement changes.
• Work effectively in a fast‑paced environment.
• Navigate and interpret insurance contracts.
• Communicate, inspire, and motivate staff at all levels.
• Think and act strategically and proactively.
• Maintain accurate records and prepare reports.
• Organize and coordinate work of others.
• Set priorities and assign work.
• Excellent analytical skills.

• Oral:
  Speaks clearly and persuasively, listens, responds well, demonstrates presentation skills, and participates in meetings.
• Written:
  Writes clearly, edits for spelling and grammar, varies style to meet needs, and presents numerical data effectively.

• Proficient in all programs necessary for effective execution of job responsibilities.

• Constant sitting with occasional walking, standing, kneeling, or stooping.
• Use hands to finger, handle, or feel objects and reach with hands and arms.
• Constant talking and hearing.
• Close vision required.
• Occasional lift of up to 20 pounds.

• Participate in legal and ethical compliance training each year.
• Consistently behave in compliance with Bio Matrix, LLC’s legal and ethical policies.
• Abide by the policies of Bio Matrix, LLC as set forth in the Compliance Manual.
• Do not engage in unethical or illegal conduct.

Support the organization’s mission, vision, and values by exhibiting integrity, dedication, compassion, enrichment, and enthusiasm. Place patients first, show all‑in engagement, and focus on relentless consistency wins.

The above statements describe the general nature and level of work performed. They are not exhaustive, and additional duties may be assigned as needed.

The incumbent must be able to work in a fast‑paced environment, juggling and prioritizing competing tasks, and seek supervisory assistance as appropriate.

Incumbents may be required to assist or find assistance to make accommodations for disabled individuals to ensure access to the organization’s services (may include visitors, patients, employees, or others).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.