
1 - 10 employees
đĽ Healthcare
đ° $4M Seed Round on 2022-11
Healthcare
Local Infusion is redefining infusion therapy with a focus on enhancing patient experiences and outcomes. With a commitment to improving the affordability and efficiency of care, Local Infusion operates ambulatory infusion centers that prioritize a community-centric and human-centered design approach. The organization aims to create a supportive environment for both patients and healthcare providers, ensuring that the infusion therapy experience feels local and personal.
đĽ 2 hours ago
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1 - 10 employees
đĽ Healthcare
đ° $4M Seed Round on 2022-11
Healthcare
Local Infusion is redefining infusion therapy with a focus on enhancing patient experiences and outcomes. With a commitment to improving the affordability and efficiency of care, Local Infusion operates ambulatory infusion centers that prioritize a community-centric and human-centered design approach. The organization aims to create a supportive environment for both patients and healthcare providers, ensuring that the infusion therapy experience feels local and personal.
⢠Manage assigned insurance accounts receivable, focusing on aged, high-dollar, and priority revenue ⢠Meet established productivity, quality, and accuracy expectations ⢠Perform collection activities to advance claims toward payment or final resolution ⢠Research unpaid, denied, and underpaid claims to identify root causes ⢠Resolve denials, rejections, underpayments, authorization issues, eligibility issues, and other payer barriers ⢠Select resolution pathways including corrected claims, reconsiderations, appeals, payer escalations, and internal escalations ⢠Follow payer-specific requirements for timely filing, reconsiderations, appeals, and dispute resolution ⢠Communicate with payers to obtain claim status, processing details, reference numbers, and next steps ⢠Maintain concise, complete, and actionable account documentation ⢠Establish follow-up dates and manage claims throughout the collection lifecycle ⢠Identify recurring payer trends and systemic issues and escalate them for broader resolution ⢠Partner with Billing, Authorization, Intake, Cash Posting, Patient Collections, and RCM leadership ⢠Prioritize inventory based on financial exposure, aging, timely filing risk, and recovery opportunity ⢠Maintain ownership of assigned inventory through payment or final disposition ⢠Contribute to aged AR reduction, cash recovery, and inventory resolution
⢠3+ years of healthcare insurance collections or AR follow-up experience, preferably within infusion, specialty pharmacy, physician practice, or another complex specialty environment ⢠Demonstrated experience managing aged and high-dollar accounts receivable ⢠Strong working knowledge of commercial and government payer processes ⢠Experience resolving denials, underpayments, authorization issues, eligibility issues, and claim-processing errors ⢠Working knowledge of corrected claims, reconsiderations, appeals, timely filing requirements, and payer escalation pathways ⢠Ability to interpret EOBs, ERAs, payer correspondence, and claim-processing information ⢠Strong account documentation and follow-up discipline ⢠Ability to independently prioritize a large inventory based on risk, aging, and financial impact ⢠Ability to work effectively within established productivity and quality standards ⢠Strong analytical and problem-solving skills with the ability to identify trends and recognize when broader escalation is required ⢠Experience with infusion or specialty medication billing and collections strongly preferred
⢠Medical, dental, and vision insurance through our employer plan ⢠Short and long-term disability coverage ⢠401(k) with employer match ⢠15 Days PTO ⢠Competitive paid parental leave ⢠Flexible return to work policy ⢠Professional development opportunities ⢠Career growth opportunities
Apply Nowđ 2 days ago
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