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RCM/Collections Specialist/Medical Biller
Option Care Health. Submit timely, 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 proficiency in billing and reimbursement processes, including invoice submission, payment application, and claims follow-up. Knowledgeable in HIPAA compliance and contract terms related to healthcare billing.
Highest-signal resume keywords
Infusion Reimbursement ExperienceHIPAA ComplianceInvoice SubmissionPayment ApplicationContract Terms Knowledge
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 ApplicationClaims VerificationDocumentation VerificationBasic Microsoft ExcelBasic Microsoft WordBilling Training AssistanceSecond-Level AppealsPatient Account ManagementFee Schedule Knowledge
Soft Skills
Attention to DetailCommunication SkillsOrganizational SkillsProblem-Solving SkillsConfidentiality Maintenance
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
HIPAA GuidelinesReimbursement ManagementPatient InvoicingClaims ProcessingHealthcare Billing
About the role
Key responsibilities & impact- Submit timely, 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 properly documented
- 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 or 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 patient or responsible-party letters 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 patient and business confidentiality in compliance with 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
- Ability to follow HIPPA guidelines when accessing and sharing patient information
- Knowledge of contract terms and fee schedules for submitted invoices
- Ability to verify service/product authorization 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