Advanced Collection Specialist

Soleo Health Inc•Frisco, TX

2d•Remote

About The Position

Soleo Health is seeking an Advanced Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Advanced infusion collection experience required, and must work 8:30a-5p. The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:

Requirements

High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
3 years or more of strong infusion collections experience required
Knowledge of HCPC coding and medical terminology
CPR+ systems experience preferred
Excellent math and writing skills
Excellent interpersonal, communication and organizational skills
Ability to prioritize, problem solve and multitask
Word, Excel and Outlook experience
Must be able to work 8:30a-5p

Responsibilities

Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
Researches assigned correspondence; takes necessary action to resolve requests
Routinely reviews and works correspondence folder requests in a timely manner
Makes routine collection calls on outstanding claims
Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified
Researches refund requests received by payers and statuses refund according to findings
Documents detailed notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer Service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Must be able to communicate well with branch, management, patients and insurance carriers
Ability to perform account analysis when needed
Answering phones/taking patient calls regarding balance questions
Using portals and other electronic tools
Ensure claims are on file after initial submission
Identifies, escalates, and prepares potential payor projects to management and company Liaisons
Write detailed appeals with supporting documentation
Keep abreast of payor follow up/appeal deadlines
Submits secondary claims