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RCM, Collections Specialist, Medical Biller
Option Care Health. Submit timely and 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 invoice submission, payment processing, and compliance with payer contracts and fee schedules. Capable of maintaining confidentiality and following HIPAA guidelines while ensuring timely follow-up on claims and denials.
Highest-signal resume keywords
Invoice SubmissionPayer Contracts KnowledgePayment ProcessingHIPAA ComplianceMicrosoft Excel
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 ProcessingClaims VerificationFee Schedule UnderstandingAuthorization VerificationSecond-Level AppealsBilling and Collection TrainingQuantities and Prices DeterminationDocumentation VerificationPatient Account Evaluation
Soft Skills
Attention to DetailCommunicationOrganizational SkillsProblem-SolvingTime Management
Tools & Technologies
Microsoft ExcelMicrosoft Word
Industry Keywords
Infusion ReimbursementPatient ConfidentialityBilling ComplianceInsurance ClaimsPayment Follow-Up
About the role
Key responsibilities & impact- Submit timely and 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 authorizations and required documentation
- Evaluate and accurately apply payments to patient accounts
- Mail secondary bills and patient invoices within 48 hours of payment receipt
- Notify the Reimbursement Manager about 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
- 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, company policies, and guidelines
Requirements
What you’ll need- High School Diploma or equivalent
- 0 – 6 months previous Infusion Reimbursement or Intake/Admissions experience
- Applicants must currently reside in the Mountain OR Pacific Time Zone to be considered
- Basic level skill in Microsoft Excel
- Basic level skill in Microsoft Word
- Knowledge of payer contracts and fee schedules
- Ability to correctly determine quantities and prices for drugs billed
- Ability to verify authorizations and required documentation
- Ability to follow HIPAA guidelines and maintain patient and business confidentiality
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