Insurance Collections Specialist

CSI Companies

5d•$23 - $25•Remote

About The Position

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary To provide financial, administrative, and clerical services to ensure effective, efficient, and accurate financial and administrative operations. Insurance Collections Specialist duties include ensuring accuracy and efficiency of operations, processing and monitoring incoming payments, securing revenue by verifying and posting receipts, and ensuring our patients’ pharmacy and medical services are processed by insurance payers in a timely manner. The Insurance Collections Specialist must comply with established policies and procedures. Base Range: $23/hr - $25/hr (DOE) Schedule: (Remote) Monday - Friday, 8:00am - 4:30pm CST with some flexibility Travel: This position is required to travel up to 3xs/year to Plano, TX for in-person training

Requirements

Provide the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible.
Must possess the ability to multi-task and frequently change direction.
Computer skills including the ability to operate computerized accounting, spreadsheet, word-processing programs, and email at a highly proficient level
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
Good verbal and written communication skills
Problem analysis and problem-solving skills
Knowledge of office administration and procedures
Stress management skills
Time management skills
High School Diploma/GED
1-3 years accounts receivable and general accounting experience

Nice To Haves

College degree preferred or equivalent experience.

Responsibilities

Review and resolve outstanding payment issues in a timely manner
Process accounts and incoming payments in compliance with financial policies and procedures
Perform day to day financial transactions, including verifying, classifying, computing, posting, and recording accounts receivables data
Reconcile the accounts receivable ledger to ensure that all payments are accounted for and properly posted
Verify discrepancies and resolve clients’ billing issues
Facilitate payment of invoices due by sending bill reminders, contacting insurance companies, and contacting clients to resolve outstanding issues
Identify and execute the necessary process adjustments
Interact with customers to resolve outstanding issues
Reviews patient information to determine if an adjustment is valid and whether additional approval is required, process all approved adjustments
Prepare and submit clean claims to Medicare or other insurance companies, as needed
Answer questions from patients, clerical staff, and insurance companies.
Follow and report status of delinquent accounts.
Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
Participate in educational activities and attends monthly staff meetings.
Conduct self in accordance with employee manual.
Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Perform all special projects given in a timely manner
Performs other related duties as assigned or requested