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Healthcare Collections Specialist – RCM

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $24 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

Where this job comes from

Posted on OI Infusion's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of OI Infusion

OI Infusion

11 - 50 employees

🏥 Healthcare

🤝 B2B

💊 Pharmaceuticals

Healthcare • B2B • Pharmaceuticals

OI Infusion is a healthcare services company that partners with medical practices and health systems to establish, manage, and optimize in-office infusion suites nationwide. They handle clinical and business operations including biologic drug procurement, patient authorizations and scheduling, staffing and clinical oversight, and full revenue-cycle management (coding, billing, collections). OI Infusion focuses on improving patient access and outcomes for specialties such as gastroenterology, neurology, rheumatology, and immunology/pulmonology by delivering outpatient infusion therapies in a convenient, office-based setting.

📋 Description

• Follow up with insurance companies through payer portals and phone calls to determine claim status and secure appropriate reimbursement • Research payment discrepancies, identify root causes, and take corrective action on denied and underpaid claims • Submit supporting documentation for reconsiderations and appeals and follow payer requirements and deadlines • Interpret explanations of benefits, denial codes, and billing information to determine next steps • Partner with revenue cycle colleagues to correct billing, benefits, or authorization errors and identify denial trends • Document follow-up activity, respond to payer correspondence, and keep accounts updated • Meet established productivity and quality standards while managing assigned accounts

🎯 Requirements

• Previous experience in medical billing and insurance collections, including professional billing • Experience resolving denied and underpaid claims through reconsiderations and appeals • Knowledge of Medicare, Medicaid, and commercial insurance requirements • Working knowledge of CPT, HCPCS, and ICD-10 coding • Ability to interpret EOBs and insurance denial reason codes • Strong research, problem-solving, and written and verbal communication skills • Ability to prioritize accounts, manage deadlines, and work independently in a remote setting • Collaborative approach and willingness to learn and apply feedback • Experience with infusion billing or insurance collections preferred • Must be legally authorized to work in the United States • Must not require sponsorship now or in the future to work in the United States

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