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RCM, Collections Specialist, Medical Biller
Option Care Health. Submit timely and accurate invoices to payers for products and services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in billing and reimbursement processes, ensuring compliance with HIPAA guidelines and contract terms. Proficient in invoice submission, payment evaluation, and follow-up procedures to optimize revenue cycle management.
Highest-signal resume keywords
Infusion Reimbursement ExperienceHIPAA Compliance KnowledgePayer Contract UnderstandingMicrosoft Excel ProficiencyMicrosoft Word Proficiency
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 VerificationSecond-Level Appeals CompletionBilling and Collection Training AssistanceQuantity and Price Determination
Soft Skills
Attention to DetailCommunication SkillsOrganizational Skills
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Fee SchedulesPatient ConfidentialityAuthorization VerificationBilling ProcessesCollection Letters
About the role
Key responsibilities & impact- Submit timely and accurate invoices to payers for products and services
- Understand contract terms and fee schedules for submitted invoices
- Determine quantities and prices for drugs billed
- Verify services and products are authorized and required documentation is on file
- Evaluate received 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 were received and are being processed
- 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
- Assist with Billing and Collection Training
- Complete second-level appeals to payers
- Maintain compliance with contract terms, fee schedules, and HIPPA guidelines
Requirements
What you’ll need- Applicants must currently reside in the Mountain OR Pacific 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
- Knowledge of HIPPA guidelines and patient/business confidentiality
- Understanding of 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