Collection Group Leader- Infusion Pharmacy / Remote
Centennial, Colorado, United States · Remote OK
$21/hr–$24/hr
Mid level
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Collection Group Leader- Infusion Pharmacy / Remote
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$21/hr–$24/hr
Full-time
high school
DailyPay, Flexible Schedules, Competitive Pay with Shift Differentials, Health Insurance, Dental Insurance, Vision Insurance
Posted 60d ago
Apply by Jul 14
~40 hrs/week
Remote in Colorado, United States
Responsibilities
The Collection Group Leader monitors accounts receivable and denial resolution to maximize timely payments from Medicare, Medicaid, and commercial insurers. They provide guidance to other collectors, perform QA audits, and ensure compliance with billing laws and company policies.
Requirements
Requires a High School Diploma or GED and at least one year of experience in medical collections with knowledge of managed care and reimbursement. Proficiency in Microsoft Office, automated billing systems, and medical coding (ICD-9, CPT, HCPCS) is required.
Full job description
Our Company
Amerita
Overview
Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Collection group Leader to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. The Collection Group Leader will report to the Collection Manager and work in our Centennial, CO office.
Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.
The Collection Group Leader will be capable of performing and monitoring all activities related to the collection of all Accounts Receivable and denials including but not limited to Medicare, Medicaid, commercial insurances, and patient balances. The Collection Group Leader will be the initial resource for questions from other collectors within the department. The Collection Group Leader will proactively work assigned accounts to maximize accurate and timely payment. The Collection Group Leader will work closely with collectors and with other management to identify and share information about trends or patterns in denials and payment activity. The Collection Group Leader will assure that the collection department maintains compliance with company policies and all applicable laws and regulations regarding billing, collections, banking and the security of patient financial information. Above all else qualified candidates should possess exceptional internal and external customer service and communication skills and promote company culture.
What We Offer:
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
Responsibilities
As a Collection Group Leader, you will...
Ensures that daily accomplishments work towards company goals for cash collections by ensuring all AR over 60 days is accurately worked by aging teams and all denied claims are worked within 7 days of posted denial for denials team.
Assists the process of collections through AR analysis and denial resolution as well as assist with the receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable
Assures collection department complies with established company criteria for timeliness and accuracy of billing and collections
Researches denials and outstanding balances and takes necessary collection action to resolve in a timely manner; makes necessary demographic changes to patient accounts to insure future collections
Utilizes most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority
Reviews insurance remittance advices for accuracy. Identifies billing errors, short payments, over payments, 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 notification, refund request, and/or secondary billing as needed
Monitors payer websites regularly for updates and communications accordingly; makes recommendations to changes in billing procedures to insure timely payment of claims
Review and Post adjustments within eligible range of $499.00 and under
Identifies inefficient processes; makes recommendations to automate or eliminate
Identifies denial trends and patterns of short-payment, overpayment or non-payment and brings them to the attention of appropriate specialist
Performs QA audits for proper management of A/R and evaluation of collector performance
Contacts payers by telephone, mail, email or other appropriate means to secure copies of missing remittance documents as needed
Monitors the adherence to state and federal regulations, to company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
Assist in implementation of training program for Collection Specialists and Patient Collection Specialists
Coordinates and conducts training for all new staff
Assists with competency testing for all training materials
Interacts with third party collection agencies as needed
Understands and adheres to HIPAA and PHI guidelines
Communicates clearly and professionally, both in written form and orally, with internal and external customers
Available to work extended hours when necessary to meet department deadlines
Performs other tasks or special projects as requested by management
Qualifications
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
This position does not have supervisory responsibilities.
This position does not require travel.
While performing the duties of this job, the employee is regularly required to sit and talk or hear.
The employee is frequently required to walk and use hands to finger, handle or feel.
The employee is occasionally required to stand and reach with hands and arms.
The employees must frequently lift and/or move up to 10 pounds and occasionally lift and or move up to 30 pounds.
Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
The noise level in the work environment is usually moderate.
Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Amerita is a leading specialty infusion company focused on providing a wide range of complex therapies and personalized clinical services for acute and chronic health conditions. Our many locations across the country allow us to provide specific and timely infusion care at a patient’s optimal site of care, whether in a patients’ home, Amerita Infusion Suite, or Mosaic Ambulatory Infusion Center (AIC).
Through our affiliation with Mosaic Infusion Services, we provide patients with private and comfortable infusion suites that are staffed by highly trained Board-Certified Nurse Practitioners and Registered Infusion Nurses. These suites provide a peaceful experience with extraordinary service, educational support, and care.
Offices: 7307 South Revere Parkway, Suite 200, Centennial, CO 80112, US · 1451 North Rice Avenue, Suite F, Oxnard, CA 93030, US · 45 Kulick Road, Fairfield, NJ 07004, US · 603 Quail Creek Dr, Amarillo, Texas 79124, US · 2101 Donley Dr, Austin, Texas 78758, US
How many Management & Leadership jobs are open in Centennial, CO right now?
There are currently 475 open management & leadership positions in Centennial, CO listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Management & Leadership roles in Centennial, CO?
Companies currently hiring include EchoStar Corporation, United Launch Alliance (ULA), Sierra Space, Kiewit, CommonSpirit Health, among others. Browse the listings above to see every active employer.
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