Collections

• 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 services and products are authorized and required documentation is on file
• 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 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
• Ensure compliance with contract terms, fee schedules, and company policies
• Follow HIPPA guidelines to maintain patient and business confidentiality
• Assist with Billing and Collection Training
• Complete second-level appeals to payers

Explore RCM, Collections Specialist, Medical Biller at Option Care Health. Review requirements and application details.