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Revenue Cycle Collector

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🔥 2 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 25%

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Logo of Local Infusion

Local Infusion

1 - 10 employees

🏥 Healthcare

💰 $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.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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

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