RCM, Collections Specialist, Medical Biller

🕒 November 3

🌵 Arizona, Colorado, +1 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🌶️ New Mexico – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

👻 Ghost score 25%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 8 days.
• Jobs at this company usually fill in 21 days.
• Reposted once.
• No salary listed.

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Option Care Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1987

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Option Care Health is a leading national provider of infusion therapy services in the United States. The company offers treatment for a variety of acute and chronic conditions including neurological disorders, bleeding disorders, women's health issues, and heart failure. With over 170 nationwide infusion suite locations, Option Care Health collaborates with healthcare providers, pharmaceutical manufacturers, insurance providers, and health systems to deliver seamless and comprehensive care. Their services include IV antibiotics, nutrition support, immunoglobulin, and specialized therapies, with a strong commitment to patient care and quality outcomes. Option Care Health is in-network with all major health plans and is recognized for its high standards of care and patient support.

📋 Description

• Submit timely, accurate invoices to payers for products and services provided • Understand contract terms and fee schedules for submitted invoices • Determine quantities and prices for drugs billed • Verify services and products are authorized and required documentation is on file • Evaluate payments and apply them accurately to patient accounts • Mail secondary bills and patient invoices within 48 hours of payment receipt • Notify the Reimbursement Manager about overpayments and duplicate payments • Transfer payments belonging to other offices within 48 hours • Follow up on submitted invoices to ensure timely payment • Contact payers to verify claims were received and are processing • Send letters to patients or responsible parties when insurers fail to pay within a reasonable timeframe • Generate and mail statements and collection letters • Follow up on denials within 48 hours • Assist with Billing and Collection Training • Complete second-level appeals to payers • Maintain compliance with contract terms, fee schedules, policies, and guidelines • Maintain patient and business confidentiality

🎯 Requirements

• Applicants must currently reside in the Mountain OR Pacific Time Zone to be considered • High School Diploma or equivalent • 0 – 6 months previous Infusion Reimbursement or Intake/Admissions experience • Basic level skill in Microsoft Excel • Basic level skill in Microsoft Word • Ability to follow HIPPA guidelines when accessing and sharing patient information • Ability to understand contract terms and fee schedules • Ability to correctly determine quantities and prices for drugs billed • Ability to verify authorizations and required documentation

🏖️ Benefits

• Medical, Dental, & Vision Insurance • Paid Time off • Bonding Time Off • 401K Retirement Savings Plan with Company Match • HSA Company Match • Flexible Spending Accounts • Tuition Reimbursement • myFlexPay • Family Support • Mental Health Services • Company Paid Life Insurance • Award/Recognition Programs

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