Soleo Health Inc-posted 2 days ago
Full-time • Entry Level
Remote • Frisco, TX
251-500 employees

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: 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

  • 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
  • Previous Home Infusion and Specialty Pharmacy experience required
  • 1-3 years or more of strong collections experience
  • High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
  • 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
  • Competitive Wages
  • Flexible schedules
  • 401(k) with a match
  • Referral Bonus
  • Annual Merit Based Increases
  • No Weekends or Holidays!
  • Affordable Medical, Dental, and Vision Insurance Plans
  • Company Paid Disability and Basic Life Insurance
  • HSA and FSA (including dependent care) options
  • Paid Time Off!
  • Education Assistant Program
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