Collection Specialist – Infusion Pharmacy

Job not on LinkedIn

🔥 8 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $19 - $21 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

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Okta

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2010

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Okta is a leading provider of identity management solutions, offering both Customer Identity and Workforce Identity Clouds to ensure seamless and secure access for organizations across various industries. With a focus on flexibility, neutrality, and extensibility, Okta enables businesses to create high-performing IT systems and optimized digital experiences while maintaining top-notch security. Their platform supports a wide range of use cases including single sign-on, multifactor authentication, and identity governance, helping companies across sectors like finance, healthcare, government, and retail to manage identities efficiently. Okta continues to lead in identity access management, as highlighted by its recognition in the Gartner Magic Quadrant.

📋 Description

• Ensures daily accomplishments work towards company goals for cash collections by accurately working all assigned AR over 60 days if working aging and all denied claims within 7 days of posted denial if working denials • Understands and adheres to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices • Research outstanding balances and takes necessary collection action to resolve in a timely manner; recommends necessary demographic changes to patient accounts to ensure future collections • Research assigned correspondence; takes necessary action to resolve requested information in a timely manner; establishes appropriate follow up • Resubmits accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837 • Utilizes most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions • Negotiates payment plans with patients in accordance with company collection policies • Identifies patterns and trends of denials, short-payment or non-payment and brings them to the attention of appropriate supervisory personnel • Reviews insurance remittance advices for accuracy. Identifies billing errors, short-payments, overpayments and 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), overpayment notifications, refund requests and secondary billing • Interacts with third party collection agencies • Communicates consistently and professionally with other Amerita employees • Works within specified deadlines and stressful situations • Works overtime when necessary to meet department goals and objectives

🎯 Requirements

• High School Diploma/GED or equivalent required; some college a plus • A minimum of one (1) year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus • Working knowledge of automated billing systems; experience with CPR+ preferred • Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding • Solid Microsoft Office skills required, including Word, Excel and Outlook • Ability to type 40 wpm and proficiency with 10-key calculator • Ability to independently obtain and interpret information • Strong verbal and written communication skills

🏖️ Benefits

• DailyPay • Flexible Schedules • Competitive Pay with Shift Differentials • Health, Dental, Vision, and Life Insurance • Company-Paid Disability Insurance • Tuition Assistance & Reimbursement • Employee Discount Program • 401k Plan • Paid Time Off • Non-Retail, Closed-Door Environment