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Collections Specialist, Medical Biller
Option Care Health. Submit timely, accurate invoices to payers for products and services provided .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in billing and reimbursement processes, including invoice submission, payment evaluation, and compliance with contract terms. Capable of maintaining patient confidentiality while effectively managing documentation and communication with payers.
Highest-signal resume keywords
Infusion Reimbursement ExperienceUnderstanding Payer ContractsHIPAA ComplianceMicrosoft Excel SkillsMicrosoft Word Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Invoice SubmissionPayment EvaluationClaims VerificationDocumentation ManagementSecond-Level Appeals
Soft Skills
Attention to DetailCommunication SkillsOrganizational Skills
Industry Keywords
Fee SchedulesPatient ConfidentialityAuthorization VerificationBilling and Collection Training
About the role
Key responsibilities & impact- 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 service and product authorizations and required documentation
- Evaluate payments for correctness and apply them accurately to patient accounts
- Mail secondary bills and patient invoices within 48 hours of payment receipt
- Notify the Reimbursement Manager of overpayments and duplicate payments
- Transfer payments belonging to other offices within 48 hours
- Follow up on submitted invoices to ensure prompt payment
- Verify claims receipt and processing by phone
- 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 of receipt
- Assist with Billing and Collection Training
- Complete second-level appeals to payers
- Ensure compliance with contract terms, fee schedules, and company policies
- Maintain patient and business confidentiality while accessing and sharing patient information
Requirements
What you’ll need- Applicants must currently reside in the Eastern 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 payer contracts and fee schedules
- Ability to determine quantities and prices for drugs billed
- Ability to verify authorizations and required documentation
Benefits
Comp & perks- 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